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CPT 73510 · negotiated-rate distribution across all hospitals in our coverage

Hospitals

171

Min

$11.11

Median

$68.72

Max

$265.07

Range multiplier

23.9×

By payer (50 payers with published rates)

Payer	Hosp.	Rates	Min	Median	Max	Range×
health partners	27	352	$10.84	$37.06	$94.35	8.7×
Anthem BCBS	11	276	$14.1	$21.3	$35.4	2.5×
Blue Cross Blue Shield	60	207	$19.24	$189.24	$362.04	18.8×
medica	17	129	$29.05	$85.26	$318.72	11.0×
UnitedHealthcare	32	111	$20.2	$99.4	$325.36	16.1×
Multiplan	28	63	$39	$197.2	$325.36	8.3×
midlands choice	13	62	$79.68	$147.32	$318.72	4.0×
Aetna	26	55	$20.01	$134.16	$284.89	14.2×
Cigna	20	50	$36.4	$131.56	$1,170.62	32.2×
one world	6	48	$79.68	$199.2	$318.72	4.0×
millard public schools	6	48	$79.68	$199.2	$318.72	4.0×
greater omaha packing	6	48	$79.68	$199.2	$318.72	4.0×
phcs	13	38	$81.34	$169.36	$325.36	4.0×
quiktrip	13	38	$79.68	$139.2	$318.72	4.0×
First Health	14	34	$13.33	$67.67	$244.82	18.4×
Centene	13	27	$29.64	$43.18	$215.8	7.3×
patoka valley tier 2	11	24	$21.3	$21.3	$21.3	1.0×
Humana	16	24	$29.05	$78.81	$202.52	7.0×
timpte	6	24	$79.68	$199.2	$318.72	4.0×
Molina	6	24	$86.2	$86.2	$206.88	2.4×
patoka valley tier 1	11	24	$21.3	$21.3	$21.3	1.0×
amerigroup	6	22	$17.78	$62.15	$212.65	12.0×
martin's point	11	20	$51	$51	$51	1.0×
meridian	13	19	$43.1	$134.16	$206.88	4.8×
priority health op rate	6	18	$29.5	$108.45	$181.26	6.1×
hap - hmo op rate	5	16	$22.69	$84.84	$131.72	5.8×
Medicaid	11	14	$66	$134.16	$275	4.2×
hp - ppo op rate	4	14	$37.57	$139.28	$162.31	4.3×
hp - hmo op rate	4	14	$28.23	$102.99	$116.98	4.1×
cofinity - auto op rate	4	14	$37.41	$87.98	$220.37	5.9×
cchp	4	12	$25.86	$68.72	$94.58	3.7×
pace	6	12	$29.05	$83.42	$202.52	7.0×
hap preferred op rate	3	12	$26.41	$46.63	$182.67	6.9×
iamolina	6	12	$18.13	$64.31	$224.44	12.4×
great plains	6	12	$30.51	$87.59	$212.65	7.0×
amps	6	12	$64.5	$185.19	$449.6	7.0×
healthlink	6	12	$280.15	$280.15	$280.15	1.0×
encore exclusive	11	11	$21.3	$21.3	$21.3	1.0×
smarthealth ppo/hdhp 20161001	11	11	$34.97	$34.97	$34.97	1.0×
smarthealth ppo	11	11	$34.97	$34.97	$34.97	1.0×
sanford health plan	5	10	$93.1	$93.1	$105.45	1.1×
mhp - hmo op rate	2	10	$19.41	$36.54	$87.01	4.5×
cofinity - ppom op rate	3	10	$32.34	$130.15	$243.76	7.5×
health advantage - ppo op rate	2	10	$19.41	$36.54	$87.01	4.5×
hap hmo	4	8	$12.11	$12.11	$12.11	1.0×
hap - ppo op rate	3	8	$38.02	$150.97	$182.75	4.8×
elap	7	7	$64.96	$64.96	$88.16	1.4×
county care	7	7	$134.16	$134.16	$134.16	1.0×
hap preferred	6	7	$12.11	$12.11	$14.28	1.2×
illinicare	7	7	$134.16	$134.16	$134.16	1.0×

By hospital (top 200 by negotiated median, descending)

Hospital	City	ST	Payers	Gross	Cash	Neg min	Neg median	Neg max
CHI HEALTH - MISSOURI VALLEY	MISSOURI VALLEY	IA	19	$332	$162.68	$29.05	$98.77	$325.36
txt:CHI_Health_Missouri_Valley	—	—	19	$332	$162.68	$29.05	$98.77	$325.36
PRESENCE SAINT JOSEPH HOSPITAL ELGIN	ELGIN	IL	1	—	—	$85.8	$85.8	$126.88
TAWAS ST. JOSEPH HOSPITAL	TAWAS	MI	1	—	—	$85.8	$85.8	$126.88
PRESENCE SAINT FRANCIS HOSPITAL	EVANSTON	IL	1	—	—	$85.8	$85.8	$126.88
txt:Ascension_Saint_Joseph_-_Chicago_(Presence_Chicago	—	—	1	—	—	$85.8	$85.8	$126.88
PRESENCE ST. MARYS HOSPITAL	KANKAKEE	IL	1	—	—	$85.8	$85.8	$126.88
PRESENCE SAINT JOSEPH HOSP-CHICAGO	CHICAGO	IL	1	—	—	$85.8	$85.8	$126.88
MCLAREN MACOMB	MT. CLEMENS	MI	17	—	$166.55	$23.96	$85.62	$277.2
GARRISON MEMORIAL HOSPITAL	GARRISON	ND	7	$98	$66.64	$49	$83.3	$93.1
txt:CHI_St._Alexius_Health_Garrison	—	—	7	$98	$66.64	$49	$83.3	$93.1
ST ALEXIUS MEDICAL CENTER	BISMARCK	ND	7	$98	$66.64	$49	$83.3	$93.1
txt:CHI_St._Alexius_Health_Turtle_Lake	—	—	7	$111	$78.81	$78.81	$82.14	$109.89
TURTLE LAKE COMMUNITY HOSPITAL	TURTLE LAKE	ND	7	$111	$78.81	$78.81	$82.14	$109.89
txt:CHI_Health_Schuyler	—	—	18	$332	$282.2	$17.78	$81.34	$375.9
GREATER BALTIMORE MEDICAL CENTER	TOWSON	MD	1	$70.05	$68.65	$70.05	$70.05	$70.05
MCLAREN LAPEER REGION	LAPEER	MI	16	—	$127.3	$19.41	$69.42	$244.82
txt:Ascension_NE_Wisconsin_-_St._Elizabeth_Campus_(Asc	—	—	1	—	—	$25.86	$68.72	$94.58
txt:Ascension_NE_Wisconsin_-_Mercy_Campus_(Ascension_N	—	—	1	—	—	$25.86	$68.72	$94.58
MERCY MEDICAL CENTER	OSHKOSH	WI	1	—	—	$25.86	$68.72	$94.58
ASCENSION NE WISCONSIN-ST. ELIZABETH	APPLETON	WI	1	—	—	$25.86	$68.72	$94.58
BETHESDA REHABILITATION HOSPITAL INC	BATON ROUGE	LA	1	—	—	$68.02	$68.02	$68.02
txt:Ascension_Via_Christi_Hospital_St._Teresa,_Inc.	—	—	1	—	—	$68.02	$68.02	$68.02
VIA CHRISTI REHAB CENTER INC	WICHITA	KS	1	—	—	$68.02	$68.02	$68.02
VIA CHRISTI HOSP. WICHITA ST. TERESA	WICHITA	KS	1	—	—	$68.02	$68.02	$68.02
HEARTLAND REGIONAL MEDICAL CENTER	MARION	IL	11	$118	$41.3	$25.9	$63.9	$106.2
RED BUD REGIONAL HOSPITAL	RED BUD	IL	5	$118	$41.3	$25.9	$56.61	$92.04
MCLAREN FLINT	FLINT	MI	18	—	$140.85	$18.48	$55.44	$275
UNION COUNTY HOSPITAL DISTRICT	ANNA	IL	5	$118	$41.3	$25.9	$54.39	$88.5
txt:JEFFERSON_HOSPITAL	—	—	2	—	—	$51	$51	$65.78
txt:SAINT_VINCENT_HOSPITAL	—	—	2	—	—	$51	$51	$85.69
DREW MEMORIAL HOSPITAL INC	MONTICELLO	AR	1	—	—	$51	$51	$51
txt:FORBES_HOSPITAL	—	—	1	—	—	$51	$51	$51
txt:GROVE_CITY_HOSPITAL	—	—	2	—	—	$37.46	$51	$68.7
txt:ALLEGHENY_VALLEY_HOSPITAL	—	—	1	—	—	$51	$51	$51
txt:ALLEGHENY_GENERAL_HOSPITAL	—	—	1	—	—	$51	$51	$51
txt:AHN_WEXFORD_HOSPITAL	—	—	1	—	—	$51	$51	$51
txt:WEST_PENN_HOSPITAL	—	—	1	—	—	$51	$51	$51
WESTFIELD MEMORIAL HOSPITAL	WESTFIELD	NY	1	—	—	$51	$51	$51
txt:CANONSBURG_HOSPITAL	—	—	1	—	—	$51	$51	$51
KAHUKU MEDICAL CENTER	KAHUKU	HI	2	—	—	$48.71	$50.2	$51.68
VIA CHRISTI HOSPITAL PITTSBURG INC.	PITTSBURG	KS	1	—	—	$45.95	$45.95	$45.95
WAMEGO HOSPITAL ASSOCIATION	WAMEGO	KS	1	—	—	$45.95	$45.95	$45.95
MERCY REGIONAL HEALTH CENTER	MANHATTAN	KS	1	—	—	$45.95	$45.95	$45.95
txt:Ascension_Via_Christi_Hospital_Manhattan,_Inc	—	—	1	—	—	$45.95	$45.95	$45.95
txt:Wamego_Health_Center_(Wamego_Hospital_Association)	—	—	1	—	—	$45.95	$45.95	$45.95
txt:Henry_Ford_Genesys_Hospital	—	—	2	—	—	$33.49	$42.16	$50.82
UNIVERSITY OF MINNESOTA MEDICAL CTR	MINNEAPOLIS	MN	1	—	—	$10.84	$37.39	$67.16
249804	—	—	1	—	—	$10.84	$37.39	$67.16
txt:M_Health_Fairview_University_of_Minnesota_Masonic_	—	—	1	—	—	$10.84	$37.39	$67.16
txt:M_Health_Fairview_University_of_Minnesota_Medical_	—	—	1	—	—	$10.84	$37.39	$67.16
M HEALTH FAIRVIEW BETHESDA HOSPITAL	ST PAUL	MN	1	—	—	$10.84	$37.06	$67.16
txt:M_Health_Fairview_Southdale_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:M_Health_Fairview_Ridges_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:M_Health_Fairview_Northland_Medical_Center	—	—	1	—	—	$10.84	$37.06	$67.16
RANGE REGIONAL HEALTH SERVICES	HIBBING	MN	1	—	—	$10.84	$37.06	$67.16
FAIRVIEW LAKES REGIONAL MEDICAL CTR	WYOMING	MN	1	—	—	$10.84	$37.06	$67.16
HEALTHEAST ST JOSEPHS HOSPITAL	ST PAUL	MN	1	—	—	$10.84	$37.06	$67.16
GRAND ITASCA CLINIC AND HOSPITAL	GRAND RAPIDS	MN	1	—	—	$10.84	$37.06	$67.16
FAIRVIEW SOUTHDALE HOSPITAL	EDINA	MN	1	—	—	$10.84	$37.06	$67.16
FAIRVIEW NORTHLAND REG	PRINCETON	MN	1	—	—	$10.84	$37.06	$67.16
FAIRVIEW RIDGES HOSPITAL	BURNSVILLE	MN	1	—	—	$10.84	$37.06	$67.16
HEALTHEAST ST JOHNS HOSPITAL	MAPLEWOOD	MN	1	—	—	$10.84	$37.06	$67.16
HEALTHEAST WOODWINDS HOSPITAL	WOODBURY	MN	1	—	—	$10.84	$37.06	$67.16
txt:M_Health_Fairview_Lakes_Medical_Center	—	—	1	—	—	$10.84	$37.06	$67.16
txt:HealthEast_Woodwinds_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:HealthEast_St._John's_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:Grand_Itasca_Clinic_and_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:Fairview_Bethesda_Hospital	—	—	1	—	—	$10.84	$37.06	$67.16
txt:UPMC_Kane	—	—	13	$52	$31.2	$18.2	$28.6	$1,170.62
txt:Carle_BroMenn_Medical_Center_-_Rehab_Unit	—	—	9	$431	$431	$43.1	$265.07	$323.25
CARLE BROMENN MEDICAL CENTER	NORMAL	IL	9	$431	$431	$43.1	$265.07	$323.25
txt:Carle_BroMenn_Medical_Center	—	—	9	$431	$431	$43.1	$265.07	$323.25
txt:Ascension_St._John_Nowata_(Jane_Phillips_Nowata_Ho	—	—	3	—	—	$13.33	$259.34	$259.34
NOWATA HEALTH CENTER	NOWATA	OK	3	—	—	$13.33	$259.34	$259.34
239804	—	—	3	—	—	$13.33	$259.34	$259.34
ASCENSION ST JOHN HOSPITAL	DETROIT	MI	3	—	—	$13.33	$259.34	$259.34
txt:Carle_Eureka_Hospital	—	—	10	$431	$431	$43.1	$258.6	$362.04
CARLE EUREKA HOSPITAL	EUREKA	IL	10	$431	$431	$43.1	$258.6	$362.04
txt:Carle_Eureka_Hospital_-_Swing_Bed_Unit	—	—	10	$431	$431	$43.1	$258.6	$362.04
txt:Advocate_Childrens_Hospital_-_Park_Ridge	—	—	1	—	—	$216.71	$234.37	$246.74
ADVOCATE NORTHSIDE HEALTH SYSTEM	CHICAGO	IL	1	—	—	$216.18	$233.67	$246.03
GOOD SHEPHERD HOSPITAL	BARRINGTON	IL	1	—	—	$216.18	$233.67	$246.03
txt:Advocate_Illinois_Masonic_Medical_Center	—	—	1	—	—	$216.18	$233.67	$246.03
SOUTH SUBURBAN HOSPITAL	HAZELCREST	IL	1	—	—	$215.65	$233.14	$245.33
txt:Advocate_South_Suburban_Hospital	—	—	1	—	—	$215.65	$233.14	$245.33
ADVOCATE GOOD SAMARITAN HOSPITAL	DOWNERS GROVE	IL	1	—	—	$214.77	$232.26	$244.44
ADVOCATE SOUTHLAND HOSPITAL	CHICAGO	IL	1	—	—	$214.77	$232.26	$244.44
txt:Advocate_Trinity_Hospital	—	—	1	—	—	$214.77	$232.26	$244.44
txt:Advocate_Childrens_Hospital_-_Oak_Lawn	—	—	1	—	—	$213.71	$231.02	$243.21
ADVOCATE LUTHERAN GENERAL HOSPITAL	PARK RIDGE	IL	1	—	—	$212.83	$229.96	$242.15
txt:Advocate_Lutheran_General_Hospital	—	—	1	—	—	$212.83	$229.96	$242.15
txt:Advocate_Christ_Medical_Center	—	—	1	—	—	$209.82	$226.78	$238.79
149809	—	—	1	—	—	$209.82	$226.78	$238.79
ADVOCATE CHRIST HOSPITAL	OAK LAWN	IL	1	—	—	$209.82	$226.78	$238.79
txt:Ascension_St._Vincent_Clay_(St._Vincent_Clay_Hospi	—	—	6	—	—	$14.1	$21.3	$35.4
ASCENSION SETON BASTROP	BASTROP	TX	6	—	—	$14.1	$21.3	$35.4
ASCENSION ST. VINCENT JENNINGS	NORTH VERNON	IN	6	—	—	$14.1	$21.3	$35.4
ST. MARY MEDICAL CENTER INC.	HOBART	IN	6	—	—	$14.1	$21.3	$35.4
ASCENSION ST. VINCENT WILLIAMSPORT	WILLIAMSPORT	IN	6	—	—	$14.1	$21.3	$35.4
ASCENSION SETON SHOAL CREEK	AUSTIN	TX	6	—	—	$14.1	$21.3	$35.4
txt:Ascension_St._Vincent_Jennings_(St._Vincent_Jennin	—	—	6	—	—	$14.1	$21.3	$35.4
txt:Ascension_St._Vincent_Williamsport_(St._Vincent_Wi	—	—	6	—	—	$14.1	$21.3	$35.4
ASCENSION ST. VINCENT WARRICK	BOONEVILLE	IN	6	—	—	$14.1	$21.3	$35.4
ASCENSION ST VINCENT SETON SPECIALTY	INDIANAPOLIS	IN	6	—	—	$14.1	$21.3	$35.4
ST VINCENT SETON SPECIALTY HOSP-LAF	LAFAYETTE	IN	6	—	—	$14.1	$21.3	$35.4
txt:CHI_Health_Plainview	—	—	19	$332	$278.88	$50.63	$157.46	$449.6
BAY REGIONAL MEDICAL CENTER	BAY CITY	MI	14	—	$154.2	$87.98	$155.41	$243.76
MCLAREN BAY SPECIAL CARE	BAY CITY	MI	14	—	$148.25	$87.98	$155.41	$243.76
txt:Lasting_Hope_Recovery_Center	—	—	7	$232	$97.44	$39.44	$151.96	$197.2
CONDELL MEDICAL CENTER	LIBERTYVILLE	IL	1	—	—	$132.38	$143.14	$150.59
txt:Advocate_Condell_Medical_Center	—	—	1	—	—	$132.38	$143.14	$150.59
txt:CHI_Health_Midlands	—	—	8	$232	$97.44	$41.76	$139.2	$197.2
txt:CHI_Health_Mercy_Council_Bluffs	—	—	8	$232	$97.44	$34.8	$139.2	$197.2
txt:CHI_Health_Immanuel	—	—	8	$232	$97.44	$32.48	$139.2	$197.2
CHI HEALTH-CREIGHTON UNIV MED CENTER	OMAHA	NE	8	$232	$97.44	$39.44	$139.2	$197.2
CHI HEALTH MERCY COUNCIL BLUFFS	COUNCIL BLUFFS	IA	8	$232	$97.44	$34.8	$139.2	$197.2
txt:CHI_Health_Lakeside	—	—	8	$232	$97.44	$37.12	$139.2	$197.2
txt:Ascension_Saint_Alexius_Women_And_Children's_Hospi	—	—	8	—	—	$126.61	$134.16	$134.16
ST. VINCENTS ST. CLAIR	PELL CITY	AL	8	—	—	$126.61	$134.16	$134.16
ALEXIAN BROTHERS MEDICAL CENTER	ELK GROVE VILLAGE	IL	9	—	—	$126.61	$134.16	$134.16
txt:Ascension_Alexian_Brothers_(Alexian_Brothers_Medic	—	—	9	—	—	$126.61	$134.16	$134.16
txt:Ascension_Alexian_Brothers_Rehabilitation_Hospital	—	—	9	—	—	$126.61	$134.16	$134.16
txt:Ascension_Saint_Alexius_(Ascension_St._Alexius_Med	—	—	8	—	—	$126.61	$134.16	$134.16
ST. ALEXIUS MEDICAL CENTER	HOFFMAN ESTATES	IL	8	—	—	$126.61	$134.16	$134.16
txt:Ascension_Alexian_Brothers_Behavioral_Health_Hospi	—	—	3	—	—	$131.56	$131.56	$134.16
ALEXIAN BROTHERS BEHAVIORAL HEALTH	HOFFMAN ESTATES	IL	3	—	—	$131.56	$131.56	$134.16
txt:Karmanos_Cancer_Institute	—	—	3	$176.6	$88.3	$65.17	$123.62	$132.45
txt:Henry_Ford_River_District_Hospital	—	—	4	—	—	$12.11	$12.11	$48.54
txt:Henry_Ford_Madison_Heights_Hospital	—	—	4	—	—	$12.11	$12.11	$48.54
txt:Henry_Ford_Providence_Novi_Hospital	—	—	3	—	—	$12.11	$12.11	$14.28
txt:Henry_Ford_Providence_Southfield_Hospital	—	—	3	—	—	$12.11	$12.11	$14.28
txt:Henry_Ford_St_John_Hospital	—	—	4	—	—	$12.11	$12.11	$48.54
txt:Henry_Ford_Warren_Hospital	—	—	4	—	—	$12.11	$12.11	$48.54
CHI HEALTH MERCY CORNING	CORNING	IA	18	$332	$159.36	$35.69	$112.05	$325.36
txt:CHI_Health_Mercy_Corning	—	—	18	$332	$159.36	$35.69	$112.05	$325.36
txt:Henry_Ford_Rochester_Hospital	—	—	1	—	—	$11.11	$11.11	$11.11
ADVOCATE SHERMAN HOSPITAL	ELGIN	IL	1	—	—	$101.12	$109.26	$115.01
txt:Advocate_Sherman_Hospital	—	—	1	—	—	$101.12	$109.26	$115.01
MCLAREN OAKLAND	PONTIAC	MI	11	—	$79.85	$74.89	$101.12	$153.59
REDINGTON-FAIRVIEW GENERAL HOSPITAL	SKOWHEGAN	ME	0	$303	$227.25	—	—	—
txt:Jefferson_Abington_Hospital	—	—	0	$25	—	—	—	—
NOLAND HOSPITAL TUSCALOOSA II	TUSCALOOSA	AL	0	$372.05	—	—	—	—
txt:john_heinz_institute_of_rehabilitation	—	—	0	$66	—	—	—	—
BUTLER MEMORIAL HOSPITAL	BUTLER	PA	0	—	—	—	—	—
ARIA HEALTH	PHILADELPHIA	PA	0	$25	—	—	—	—
txt:Los_Angeles_General_Medical_Center	—	—	0	$270	—	—	—	—
CLARION HOSPITAL	CLARION	PA	0	—	—	—	—	—
SPARROW EATON	CHARLOTTE	MI	0	$69	$34.5	—	—	—
JOHN HEINZ INSTIT. OF REHAB MEDICINE	WILKES-BARRE	PA	0	$66	—	—	—	—
NOLAND HOSPITAL DOTHAN II	DOTHAN	AL	0	$816.21	—	—	—	—
NOLAND HOSPITAL MONTGOMERY II	MONTGOMERY	AL	0	$215.29	—	—	—	—
txt:Noland_Hospital_Anniston	—	—	0	$215.29	—	—	—	—
txt:Noland_Hospital_Dothan	—	—	0	$816.21	—	—	—	—
txt:Noland_Hospital_Tuscaloosa	—	—	0	$372.05	—	—	—	—
txt:Olive_View-UCLA_Medical_Center	—	—	0	$270	—	—	—	—
txt:Rancho_Los_Amigos_National_Rehabilitation_Center	—	—	0	$270	—	—	—	—
NOLAND HOSPITAL ANNISTON II	ANNISTON	AL	0	$215.29	—	—	—	—
txt:University_of_Michigan_Health-Sparrow_Carson	—	—	0	$69	$34.5	—	—	—
txt:University_of_Michigan_Health-Sparrow_Clinton	—	—	0	$69	$34.5	—	—	—
txt:University_of_Michigan_Health-Sparrow_Eaton	—	—	0	$69	$34.5	—	—	—
txt:University_of_Michigan_Health-Sparrow_Ionia	—	—	0	$69	$34.5	—	—	—
txt:Clarion_Hospital	—	—	0	—	—	—	—	—
txt:Butler_Memorial_Hospital	—	—	0	—	—	—	—	—
txt:allied_services_institute_of_rehabilitation	—	—	0	$66	—	—	—	—
SPARROW CLINTON HOSPITAL	ST. JOHNS	MI	0	$69	$34.5	—	—	—
ALLIED SERVICES REHAB HOSPITAL	SCRANTON	PA	0	$66	—	—	—	—
txt:University_of_Michigan_Health-Sparrow_Lansing	—	—	0	$69	$34.5	—	—	—
txt:University_of_Michigan_Health-Sparrow_St._Lawrence	—	—	0	$69	$34.5	—	—	—
CARSON CITY HOSPITAL	CARSON CITY	MI	0	$69	$34.5	—	—	—
STORMONT-VAIL REGIONAL HEALTH CENTER	TOPEKA	KS	0	$388.17	—	—	—	—

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.