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CPT 73130 · negotiated-rate distribution across hospitals in TN
Hospitals
15
Min
$7.80
Median
$83.11
Max
$84.33
Range multiplier
10.8×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 13 | 135 | $15.33 | $43.02 | $134.00 | 8.7× |
| UnitedHealthcare | 13 | 94 | $4.29 | $127.70 | $163.61 | 38.1× |
| Cigna | 13 | 80 | $7.30 | $60.13 | $206.83 | 28.3× |
| Aetna | 12 | 49 | $7.80 | $55.79 | $243.10 | 31.2× |
| Medicare | 9 | 28 | $7.80 | $83.91 | $88.55 | 11.4× |
| Humana | 12 | 28 | $7.80 | $82.96 | $84.33 | 10.8× |
| Ambetter | 11 | 18 | $10.92 | $108.04 | $109.63 | 10.0× |
| Medicare Advantage | 8 | 17 | $80.63 | $84.33 | $84.33 | 1.0× |
| optum va | 7 | 14 | $83.11 | $84.33 | $84.33 | 1.0× |
| smart health | 7 | 14 | $116.35 | $118.06 | $118.06 | 1.0× |
| amerigroup mcr replacement | 7 | 14 | $83.11 | $84.33 | $86.86 | 1.0× |
| point comfort underwriters | 7 | 14 | $74.80 | $75.90 | $75.90 | 1.0× |
| nhc advantage | 7 | 14 | $83.11 | $84.33 | $84.33 | 1.0× |
| centurion of tn | 7 | 14 | $83.11 | $84.33 | $84.33 | 1.0× |
| healthspring mcr replacement | 7 | 14 | $83.11 | $84.33 | $84.33 | 1.0× |
| ascension complete | 6 | 12 | $83.11 | $83.72 | $84.33 | 1.0× |
| wellpoint | 3 | 9 | $72.54 | $84.42 | $84.42 | 1.2× |
| farm bureau | 4 | 7 | $7.96 | $79.21 | $79.21 | 10.0× |
| Self-Pay (Cash) | 7 | 7 | $83.11 | $84.33 | $84.33 | 1.0× |
| Oscar Health | 7 | 7 | $116.35 | $118.06 | $118.06 | 1.0× |
| devoted health | 3 | 6 | $84.42 | $84.42 | $84.42 | 1.0× |
| Medicaid | 1 | 6 | $25.00 | $62.42 | $67.32 | 2.7× |
| TRICARE | 5 | 6 | $80.40 | $80.68 | $81.29 | 1.0× |
| triwest va pccc | 3 | 6 | $84.33 | $84.33 | $84.33 | 1.0× |
| community plan | 4 | 4 | $22.18 | $22.18 | $22.18 | 1.0× |
| WellCare | 4 | 4 | $7.80 | $84.42 | $84.42 | 10.8× |
| galaxy health network | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| community services network | 3 | 3 | $65.00 | $65.00 | $65.00 | 1.0× |
| direct care america | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| ehn | 3 | 3 | $45.00 | $45.00 | $45.00 | 1.0× |
| initial group | 3 | 3 | $88.00 | $88.00 | $88.00 | 1.0× |
| ccn managed care | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| medsave usa | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| national provider network | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| novanet | 3 | 3 | $75.00 | $75.00 | $75.00 | 1.0× |
| optum | 3 | 3 | $80.40 | $80.40 | $80.40 | 1.0× |
| beech street | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| usa managed care organization | 3 | 3 | $70.00 | $70.00 | $70.00 | 1.0× |
| correctional medical services | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| Molina | 1 | 2 | $67.32 | $75.74 | $84.15 | 1.3× |
| amerigroup | 2 | 2 | $6.83 | $42.63 | $78.43 | 11.5× |
| americhoice mcr replacement | 1 | 2 | $79.27 | $81.38 | $83.49 | 1.1× |
| blue | 1 | 1 | $7.80 | $7.80 | $7.80 | 1.0× |
| devoted health [450111] | 1 | 1 | $83.05 | $83.05 | $83.05 | 1.0× |
| amerivantage | 1 | 1 | $6.83 | $6.83 | $6.83 | 1.0× |
| provider network of america | 1 | 1 | $13.26 | $13.26 | $13.26 | 1.0× |
| amerigroup mcaid replacement | 1 | 1 | $77.29 | $77.29 | $77.29 | 1.0× |
| bluecare | 1 | 1 | $12.78 | $12.78 | $12.78 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $80.63 | $80.63 | $80.63 | 1.0× |
| transplant optum tenncare [350013] | 1 | 1 | $22.35 | $22.35 | $22.35 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 19 | $288.90 | $86.67 | $15.33 | $84.33 | $127.70 |
| Saint Thomas Midtown Hospital | Nashville | TN | 21 | — | — | $15.33 | $84.33 | $127.70 |
| Saint Thomas West Hospital | Nashville | TN | 19 | $288.90 | $86.67 | $15.33 | $84.33 | $127.70 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 19 | $392.80 | $117.84 | $15.33 | $84.33 | $127.70 |
| St Thomas Dekalb Hospital | Smithville | TN | 19 | $392.80 | $117.84 | $15.33 | $83.11 | $127.70 |
| Ascension St Thomas River Park | Mcminnville | TN | 20 | $374.10 | $112.23 | $22.18 | $83.11 | $127.70 |
| Saint Thomas Highland Hospital | Sparta | TN | 19 | $392.80 | $117.84 | $15.33 | $83.11 | $127.70 |
| Morristown-Hamblen Hospital | Morristown | TN | 24 | $438.00 | $135.78 | $27.84 | $82.81 | $163.61 |
| Roane County Medical Center | Harriman | TN | 24 | $438.00 | $135.78 | $27.84 | $82.81 | $163.61 |
| Fort Loudoun Medical Center | Lenoir City | TN | 24 | $438.00 | $140.16 | $27.84 | $82.81 | $163.61 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 15 | $550.00 | $121.00 | $20.74 | $80.63 | $206.83 |
| Metro Nashville General Hospital | Nashville | TN | 19 | $442.00 | $265.20 | $4.29 | $7.80 | $243.10 |
| St Thomas Hickman Hospital | Centerville | TN | 4 | — | — | $26.03 | $53.22 | $127.70 |
| Big South Fork Medical Center | Oneida | TN | 0 | $479.00 | $143.70 | — | — | — |
| St Thomas Ascension | Nashville | TN | 0 | $1,308.87 | $327.22 | — | — | — |
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.