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CPT 72193 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$1,723.91
Median
$2,495.81
Max
$5,967.00
Range multiplier
3.5×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$182.43$949.96$1,774.159.7×
UnitedHealthcare536$720.44$2,521.54$5,967.008.3×
Blue Cross Blue Shield527$738.45$2,289.97$5,967.008.1×
Cigna424$2,470.08$2,547.27$2,547.271.0×
medica (commercial) 94265 [3081118]424$2,135.59$2,521.54$2,521.541.2×
govt employees health assn [3081090]424$1,698.18$2,521.54$2,521.541.5×
healthpartners [3081368]421$188.00$2,521.54$2,521.5413.4×
national telephone cooperative assn 52103 [3081149]416$1,698.18$2,521.54$2,521.541.5×
Meritain Health416$2,470.08$2,547.27$2,547.271.0×
risk admin svs [3081167]416$532.63$1,295.52$2,058.403.9×
Aetna412$2,315.70$2,380.03$2,444.351.1×
Humana510$238.29$2,573.00$5,967.0025.0×
tlc advantage llc [3081189]59$2,418.62$2,418.62$2,519.201.0×
avera health plans 46045 [3081018]59$1,891.16$2,495.81$2,495.811.3×
midlands choice 47080 [3081136]48$2,470.08$2,547.27$2,547.271.0×
allied benefit systems inc [3081320]48$2,470.08$2,547.27$2,547.271.0×
coresource 38225 [3081146]48$1,672.45$2,315.70$2,315.701.4×
employee benefit management 12x44 [3081079]48$2,187.05$2,315.70$2,315.701.1×
fedmed inc [3081283]48$2,444.35$2,495.81$2,495.811.0×
health partners sx009 [3081102]48$1,595.26$2,521.54$2,521.541.6×
key benefit administrators [3081332]48$2,470.08$2,547.27$2,547.271.0×
pacificsource health plans [3081333]48$2,187.05$2,315.70$2,315.701.1×
preferred one 41147 [3081160]48$2,470.08$2,547.27$2,547.271.0×
rocky mountain admin llc 83028 [3081168]48$2,058.40$2,315.70$2,315.701.1×
sanford health plan 91184 [3081174]48$2,315.70$2,495.81$2,495.811.1×
surest [3081369]48$1,698.18$2,521.54$2,521.541.5×
va ccn optum [3081339]44$226.94$720.44$952.014.2×
Medicare44$720.44$836.23$5,967.008.3×
Multiplan24$2,315.70$2,405.76$2,495.811.1×
group and pension administrators inc [3081098]24$2,315.70$2,405.76$2,495.811.1×
va black hills health care system 12115 [3081206]44$226.94$720.44$952.014.2×
va black hills health care system 12115 [3081207]33$720.44$720.44$952.011.3×
VA Health33$720.44$720.44$952.011.3×
Health Net33$720.44$720.44$952.011.3×
triwest healthcare alliance [3081322]33$720.44$720.44$952.011.3×
minnesota health care programs 12k16 [3081295]12$779.62$779.62$779.621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD6$2,680.00$2,680.00$966.00$5,967.00$5,967.00
Monument Health Custer HospitalCusterSD35$2,573.00$2,573.00$532.63$2,521.54$2,573.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$2,573.00$2,573.00$532.63$2,495.81$2,573.00
Monument Health Sturgis RegionalSturgisSD33$2,573.00$2,573.00$532.63$2,495.81$2,573.00
Monument Health Rapid City HospitalRapid CitySD31$2,573.00$2,573.00$182.43$1,723.91$2,470.08

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.