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CPT 73130 · negotiated-rate distribution across hospitals in NC
Hospitals
28
Min
$76.36
Median
$103.76
Max
$621.69
Range multiplier
8.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 26 | 302 | $8.08 | $207.08 | $479.70 | 59.4× |
| Blue Cross Blue Shield | 26 | 170 | $42.16 | $159.29 | $402.68 | 9.6× |
| UnitedHealthcare | 26 | 160 | $7.08 | $84.49 | $414.14 | 58.5× |
| bcbsfl | 9 | 144 | $27.07 | $30.56 | $31.44 | 1.2× |
| Cigna | 26 | 138 | $7.81 | $220.41 | $426.40 | 54.6× |
| medcost | 25 | 130 | $59.29 | $252.04 | $528.36 | 8.9× |
| Humana | 25 | 71 | $7.97 | $84.57 | $683.76 | 85.8× |
| WellCare | 26 | 48 | $7.01 | $65.59 | $220.19 | 31.4× |
| Multiplan | 26 | 47 | $214.74 | $463.50 | $637.63 | 3.0× |
| alliance | 15 | 42 | $7.15 | $57.76 | $120.78 | 16.9× |
| Ambetter | 16 | 39 | $41.70 | $170.24 | $278.31 | 6.7× |
| partners | 15 | 33 | $7.01 | $23.86 | $117.26 | 16.7× |
| trillium | 15 | 33 | $7.01 | $23.62 | $122.00 | 17.4× |
| vaya | 14 | 32 | $7.08 | $23.86 | $119.61 | 16.9× |
| employers health network | 10 | 31 | $52.99 | $235.59 | $308.07 | 5.8× |
| healthy blue | 12 | 30 | $7.08 | $23.86 | $118.43 | 16.7× |
| carolina complete health | 11 | 30 | $7.08 | $23.86 | $118.33 | 16.7× |
| choicecare | 10 | 29 | $44.55 | $394.42 | $501.02 | 11.2× |
| amerihealth caritas | 10 | 29 | $7.08 | $23.86 | $119.28 | 16.8× |
| healthgram | 12 | 24 | $226.67 | $426.40 | $479.70 | 2.1× |
| amerihealth | 16 | 24 | $53.28 | $88.03 | $265.52 | 5.0× |
| First Health | 11 | 23 | $60.00 | $453.05 | $738.15 | 12.3× |
| beechstreet | 12 | 22 | $360.80 | $479.70 | $511.68 | 1.4× |
| nc department of public safety | 9 | 19 | $69.16 | $168.80 | $215.88 | 3.1× |
| quik trip | 10 | 19 | $346.45 | $346.45 | $597.78 | 1.7× |
| private health care systems | 9 | 18 | $426.40 | $479.70 | $501.02 | 1.2× |
| gmmi | 9 | 18 | $346.45 | $346.45 | $346.45 | 1.0× |
| ortho carolina | 4 | 16 | $9.76 | $37.35 | $104.68 | 10.7× |
| physician reach out | 8 | 16 | $266.50 | $266.50 | $266.50 | 1.0× |
| carolina complete | 14 | 15 | $57.86 | $85.50 | $215.88 | 3.7× |
| oscar | 6 | 12 | $113.70 | $149.55 | $297.05 | 2.6× |
| phcs | 9 | 10 | $311.25 | $420.00 | $504.00 | 1.6× |
| plotkin health | 9 | 10 | $241.80 | $336.00 | $336.00 | 1.4× |
| atlantic corporation dba atlantic packaging | 9 | 10 | $190.90 | $257.60 | $316.40 | 1.7× |
| lifesynch community choice care | 5 | 10 | $437.06 | $453.05 | $501.02 | 1.1× |
| employers choice network | 9 | 10 | $390.91 | $543.20 | $543.20 | 1.4× |
| private healthcare systems | 5 | 10 | $310.78 | $328.00 | $411.30 | 1.3× |
| directnet | 5 | 10 | $223.99 | $236.40 | $270.09 | 1.2× |
| amps | 9 | 10 | $228.25 | $308.00 | $364.00 | 1.6× |
| three rivers provider network | 9 | 10 | $390.91 | $543.20 | $543.20 | 1.4× |
| carolina behavioral health | 5 | 10 | $383.76 | $405.08 | $426.40 | 1.1× |
| CareSource | 9 | 10 | $136.95 | $184.80 | $224.00 | 1.6× |
| primary physician care | 8 | 9 | $307.10 | $414.40 | $492.80 | 1.6× |
| liberty health | 9 | 9 | $88.62 | $88.80 | $98.01 | 1.1× |
| pace of the southern piedmont | 9 | 9 | $84.40 | $84.57 | $93.34 | 1.1× |
| provider select | 4 | 8 | $431.73 | $479.70 | $479.70 | 1.1× |
| magellan | 7 | 7 | $319.80 | $319.80 | $319.80 | 1.0× |
| Molina | 3 | 6 | $29.85 | $77.32 | $218.26 | 7.3× |
| Self-Pay (Cash) | 2 | 5 | $18.77 | $349.20 | $582.75 | 31.0× |
| first carolina care | 2 | 4 | $303.20 | $311.60 | $320.00 | 1.1× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| New Hanover Regional Medical Center | Wilmington | NC | 14 | $1,074.00 | — | $15.02 | $96.23 | $402.68 |
| Brunswick Community Hospital | Bolivia | NC | 24 | $551.00 | $275.50 | $27.07 | $96.14 | $534.47 |
| Forsyth Memorial Hospital Inc | Winston Salem | NC | 23 | $403.00 | $241.80 | $27.07 | $86.93 | $390.91 |
| Atrium Health Stanly | Albemarle | NC | 28 | $533.00 | $266.50 | $7.01 | $86.68 | $511.68 |
| Presbyterian Hospital Huntersville | Huntersville | NC | 22 | $560.00 | $280.00 | $27.07 | $86.68 | $543.20 |
| Presbyterian Hospital Matthews | Matthews | NC | 22 | $560.00 | $280.00 | $27.07 | $86.68 | $543.20 |
| Atrium Health Kings Mountain | Kings Mountain | NC | 28 | $533.00 | $266.50 | $7.01 | $86.20 | $506.35 |
| Atrium Health Cleveland | Shelby | NC | 28 | $533.00 | $266.50 | $7.01 | $86.20 | $506.35 |
| Atrium Health Anson | Wadesboro | NC | 26 | $533.00 | $266.50 | $7.01 | $86.05 | $506.35 |
| Atrium Health Cabarrus | Concord | NC | 29 | $533.00 | $266.50 | $7.01 | $81.70 | $506.35 |
| Atrium Health Pineville | Charlotte | NC | 28 | $533.00 | $266.50 | $7.01 | $79.74 | $490.36 |
| Atrium Health Lincoln | Lincolnton | NC | 25 | $533.00 | $266.50 | $7.01 | $79.03 | $506.35 |
| Atrium Health Union | Monroe | NC | 27 | $533.00 | $266.50 | $7.01 | $76.36 | $506.35 |
| Pam Specialty Hosp. Of Rocky Mount | Rocky Mount | NC | 11 | $797.04 | $797.04 | $557.93 | $621.69 | $757.19 |
| Wrmc Hospital Operating Corporation | North Wilkesboro | NC | 19 | $457.00 | $228.50 | $85.50 | $233.30 | $420.44 |
| Novant Health Mint Hill Medical Ctr | Charlotte | NC | 22 | $560.00 | $280.00 | $27.07 | $215.88 | $543.20 |
| Presbyterian Hospital | Charlotte | NC | 22 | $560.00 | $280.00 | $27.07 | $197.54 | $543.20 |
| Lexington Memorial Hospital Inc. | Lexington | NC | 23 | $410.00 | $205.00 | $77.24 | $181.02 | $378.84 |
| High Point Medical Center | High Point | NC | 19 | $399.00 | $199.50 | $57.86 | $167.78 | $379.05 |
| Gaston Memorial Hospital | Gastonia | NC | 26 | $777.00 | $777.00 | $58.39 | $147.44 | $738.15 |
| Columbus Regional Healthcare System | Whiteville | NC | 30 | $238.60 | $167.02 | $32.10 | $141.73 | $231.44 |
| North Carolina Baptist Hospital | Winston-Salem | NC | 22 | $400.00 | $200.00 | $79.20 | $133.76 | $360.00 |
| Medical Park Hospital | Winston-Salem | NC | 23 | $515.00 | $309.00 | $27.07 | $124.52 | $499.55 |
| Davie Medical Center | Bermuda Run | NC | 27 | $379.00 | $189.50 | $75.04 | $121.66 | $341.10 |
| Carolinas Medical Center | Charlotte | NC | 31 | $533.00 | $266.50 | $7.01 | $118.43 | $479.70 |
| Novant Health Ballantyne Medical Ctr | Charlotte | NC | 22 | $560.00 | $280.00 | $27.07 | $116.48 | $543.20 |
| Thomasville Medical Center | Thomasville | NC | 22 | $560.00 | $336.00 | $27.07 | $103.76 | $543.20 |
| Harris Regional Hospital | Sylva | NC | 0 | $489.01 | $195.60 | — | — | — |
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.