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CPT 73130 · negotiated-rate distribution across hospitals in CO
Hospitals
6
Min
$35.41
Median
$169.50
Max
$228.80
Range multiplier
6.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 38 | $35.41 | $35.41 | $35.41 | 1.0× |
| UnitedHealthcare | 4 | 18 | $35.41 | $107.50 | $1,391.25 | 39.3× |
| Blue Cross Blue Shield | 3 | 14 | $35.41 | $137.07 | $1,484.00 | 41.9× |
| Aetna | 3 | 10 | $35.41 | $204.68 | $1,632.40 | 46.1× |
| negotiated charge | 1 | 10 | $61.20 | $121.34 | $299.88 | 4.9× |
| Anthem BCBS | 1 | 8 | $100.17 | $299.06 | $832.33 | 8.3× |
| Humana | 2 | 7 | $80.43 | $199.92 | $1,298.50 | 16.1× |
| Molina | 2 | 6 | $35.41 | $35.41 | $203.92 | 5.8× |
| tmhp [50160] | 1 | 6 | $35.41 | $35.41 | $35.41 | 1.0× |
| wellpoint amerigroup [50170] | 1 | 5 | $35.41 | $35.41 | $35.41 | 1.0× |
| WellCare | 1 | 4 | $101.17 | $151.55 | $201.92 | 2.0× |
| cook childrens health plan [50177] | 1 | 4 | $35.41 | $35.41 | $35.41 | 1.0× |
| parkland community health plan [50190] | 1 | 4 | $35.41 | $35.41 | $35.41 | 1.0× |
| texas children's health plan [50198] | 1 | 3 | $35.41 | $35.41 | $35.41 | 1.0× |
| community first plan [50184] | 1 | 3 | $35.41 | $35.41 | $35.41 | 1.0× |
| health management network | 1 | 2 | $243.10 | $909.93 | $1,576.75 | 6.5× |
| allsavers ip | 1 | 2 | $214.50 | $802.88 | $1,391.25 | 6.5× |
| caresoure kentucky | 1 | 2 | $310.05 | $464.43 | $618.80 | 2.0× |
| child health plan+ | 1 | 2 | $185.90 | $695.83 | $1,205.75 | 6.5× |
| Cigna | 1 | 2 | $267.41 | $1,000.92 | $1,734.43 | 6.5× |
| cofinity | 1 | 2 | $214.50 | $802.88 | $1,391.25 | 6.5× |
| community health choice [50185] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| dell childrens health plan [50227] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| evercare of texas [50171] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| firstcare lubbock [50191] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| friday health plan | 1 | 2 | $200.20 | $749.35 | $1,298.50 | 6.5× |
| optum ccn region 1 | 1 | 2 | $101.17 | $151.55 | $201.92 | 2.0× |
| optum ccn region 2 | 1 | 2 | $101.17 | $151.55 | $201.92 | 2.0× |
| presbyterian of nm: php pos, administrative services only & ppo plan | 1 | 2 | $228.80 | $856.40 | $1,484.00 | 6.5× |
| presbyterian of nm: php salud plan | 1 | 2 | $214.50 | $802.88 | $1,391.25 | 6.5× |
| rightcare - scott & white health plan [50212] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| rocky mountain health plan: commercial ip | 1 | 2 | $185.90 | $695.83 | $1,205.75 | 6.5× |
| rocky mountain health plan: commercial op | 1 | 2 | $200.20 | $749.35 | $1,298.50 | 6.5× |
| texas health network [50189] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| umr | 1 | 2 | $356.80 | $534.45 | $712.10 | 2.0× |
| unicare health plans of texas [50173] | 1 | 2 | $35.41 | $35.41 | $35.41 | 1.0× |
| driscoll health plan non-verified [2000000002] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| rocky mountain health plan: mcd | 1 | 1 | $52.46 | $52.46 | $52.46 | 1.0× |
| rocky mountain health plan: mcr adv | 1 | 1 | $80.43 | $80.43 | $80.43 | 1.0× |
| southwest health alliance | 1 | 1 | $158.99 | $158.99 | $158.99 | 1.0× |
| pending tx mgd mdcd # [50242] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| community health choice [50192] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| texas rehabilitation comm [50038] | 1 | 1 | $165.82 | $165.82 | $165.82 | 1.0× |
| point comfort underwrite inc [50215] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| police departments [50065] | 1 | 1 | $1,000.00 | $1,000.00 | $1,000.00 | 1.0× |
| presbyterian of nm: mcd | 1 | 1 | $57.56 | $57.56 | $57.56 | 1.0× |
| presbyterian of nm: mcr ppo | 1 | 1 | $80.43 | $80.43 | $80.43 | 1.0× |
| generic coverage mcd mgd care [50244] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| tmhp-pccm [50208] | 1 | 1 | $35.41 | $35.41 | $35.41 | 1.0× |
| charge amount | 1 | 1 | $318.00 | $318.00 | $318.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Rio Grande Hospital | Del Norte | CO | 26 | $1,014.72 | $202.94 | $35.41 | $35.41 | $1,000.00 |
| Animas Surgical Hospital | Durango | CO | 20 | $1,855.00 | $158.99 | $52.46 | $228.80 | $1,734.43 |
| East Morgan County Hospital | Brush | CO | 10 | $952.00 | $571.20 | $100.17 | $201.92 | $837.76 |
| Mt. San Rafael Hospital | Trinidad | CO | 2 | $343.00 | $240.00 | $91.00 | $169.50 | $309.00 |
| Pioneers Medical Center | Meeker | CO | 2 | — | $254.40 | $61.20 | $149.32 | $318.00 |
| Vail Valley Medical Center | Vail | CO | 0 | $324.00 | $243.00 | — | — | — |
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.