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Knee X-ray 1-2 views
CPT 73560 · negotiated-rate distribution across hospitals in MO
Hospitals
19
Min
$170.30
Median
$351.65
Max
$493.85
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 9 | 66 | $47.59 | $323.52 | $1,424.48 | 29.9× |
| Aetna | 10 | 55 | $76.75 | $246.70 | $917.98 | 12.0× |
| UnitedHealthcare | 10 | 47 | $81.25 | $264.14 | $863.37 | 10.6× |
| Cigna | 10 | 46 | $80.69 | $264.14 | $1,484.80 | 18.4× |
| cox health systems insurance company [220] | 7 | 34 | $144.10 | $319.55 | $859.88 | 6.0× |
| healthlink [225] | 7 | 24 | $127.07 | $351.65 | $877.31 | 6.9× |
| Anthem BCBS | 2 | 24 | $162.73 | $218.59 | $336.00 | 2.1× |
| Humana | 10 | 24 | $61.66 | $218.59 | $865.69 | 14.0× |
| allied benefits [498] | 7 | 24 | $76.75 | $326.22 | $917.98 | 12.0× |
| healthscope benefits [258] | 7 | 17 | $296.00 | $435.75 | $929.60 | 3.1× |
| consociate [478] | 7 | 16 | $62.32 | $64.94 | $629.80 | 10.1× |
| med-pay [480] | 7 | 16 | $170.30 | $364.65 | $871.50 | 5.1× |
| unicare [568] | 7 | 16 | $170.30 | $364.65 | $877.31 | 5.2× |
| phcs [244] | 7 | 16 | $196.50 | $419.28 | $929.60 | 4.7× |
| First Health | 9 | 15 | $98.19 | $401.96 | $1,223.10 | 12.5× |
| Multiplan | 9 | 13 | $196.50 | $336.00 | $871.50 | 4.4× |
| Medicaid | 2 | 10 | $210.06 | $241.37 | $336.00 | 1.6× |
| php [503200005] | 1 | 9 | $89.40 | $562.18 | $1,371.58 | 15.3× |
| sarah bush lincoln [636] | 7 | 9 | $62.32 | $64.94 | $629.80 | 10.1× |
| beechstreet [551] | 7 | 8 | $196.50 | $405.75 | $871.50 | 4.4× |
| healthcare sol mercy [609] | 7 | 8 | $196.50 | $405.75 | $871.50 | 4.4× |
| detego health [868] | 7 | 8 | $196.50 | $405.75 | $871.50 | 4.4× |
| coresource [497] | 7 | 8 | $76.75 | $326.22 | $917.98 | 12.0× |
| health alliance [224] | 7 | 8 | $144.10 | $297.55 | $813.40 | 5.6× |
| preferred health professionals [561] | 7 | 8 | $197.81 | $408.46 | $877.31 | 4.4× |
| health systems inc [620] | 7 | 8 | $196.50 | $405.75 | $871.50 | 4.4× |
| fmh benefit service inc [222] | 7 | 8 | $76.75 | $326.22 | $917.98 | 12.0× |
| nalc health benefit plan [242] | 7 | 8 | $89.97 | $371.67 | $630.97 | 7.0× |
| medica [661] | 7 | 8 | $209.60 | $432.80 | $929.60 | 4.4× |
| apwu health plan [216] | 7 | 8 | $89.97 | $371.67 | $630.97 | 7.0× |
| priority health [648] | 7 | 8 | $89.97 | $371.67 | $630.97 | 7.0× |
| hope trust [806] | 7 | 8 | $151.96 | $313.78 | $673.96 | 4.4× |
| hfn [563] | 7 | 8 | $209.60 | $432.80 | $987.70 | 4.7× |
| mail handlers [495] | 7 | 8 | $76.75 | $326.22 | $917.98 | 12.0× |
| Ambetter | 3 | 7 | $138.12 | $218.59 | $336.00 | 2.4× |
| Empire BCBS | 2 | 7 | $114.36 | $264.14 | $1,424.48 | 12.5× |
| Meritain Health | 2 | 7 | $125.16 | $264.14 | $1,559.04 | 12.5× |
| essence | 2 | 6 | $210.06 | $241.37 | $336.00 | 1.6× |
| healthlink ppo | 2 | 6 | $210.06 | $241.37 | $336.00 | 1.6× |
| healthlink [503200007] | 1 | 6 | $90.26 | $623.99 | $1,371.58 | 15.2× |
| healthlink hmo | 2 | 6 | $210.06 | $241.37 | $336.00 | 1.6× |
| WellCare | 2 | 6 | $210.06 | $241.37 | $336.00 | 1.6× |
| hchsync centrus health direct [503999916] | 1 | 6 | $44.70 | $301.60 | $649.60 | 14.5× |
| medica | 2 | 6 | $210.06 | $241.37 | $336.00 | 1.6× |
| carthage r-9 school district (tri-state healthcare coalition) | 1 | 4 | $214.12 | $241.37 | $336.00 | 1.6× |
| cardinal scale (tri state healthcare coalition) | 1 | 4 | $214.12 | $241.37 | $336.00 | 1.6× |
| buchheit | 1 | 4 | $214.12 | $241.37 | $336.00 | 1.6× |
| alt wppa [5032000964] | 1 | 4 | $90.26 | $362.34 | $1,124.36 | 12.5× |
| bolivar school (smbc) | 1 | 4 | $214.12 | $241.37 | $336.00 | 1.6× |
| blue preferred | 1 | 4 | $155.13 | $174.87 | $243.43 | 1.6× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Louis Childrens Hospital | St. Louis | MO | 31 | $1,162.00 | $697.20 | $281.79 | $493.85 | $987.70 |
| North Kansas City Hospital | North Kansas City | MO | 58 | $1,856.00 | $371.20 | $43.96 | $380.48 | $1,763.20 |
| Parkland Health Center - Farmington | Farmington | MO | 31 | $541.00 | $324.60 | $47.59 | $371.67 | $470.67 |
| Missouri Baptist Hospital Sullivan | Sullivan | MO | 35 | $541.00 | $324.60 | $47.59 | $351.65 | $470.67 |
| Missouri Baptist Sullivan Hospital | Sullivan | MO | 35 | $541.00 | $324.60 | $47.59 | $351.65 | $470.67 |
| Parkland Hlth Ctr - Bonne Terre | Bonne Terre | MO | 36 | $541.00 | $324.60 | $47.59 | $351.65 | $473.92 |
| Mercy Hospital - St. Louis | St. Louis | MO | 19 | $264.14 | $264.14 | $210.06 | $237.10 | $264.14 |
| Mercy Rehabilitation Hospital-Spgf | Springfield | MO | 70 | $336.00 | $336.00 | $128.47 | $218.59 | $336.00 |
| Barnes Jewish St. Peters Hospital | St. Peters | MO | 32 | $262.00 | $157.20 | $48.62 | $170.30 | $296.00 |
| Progress West Hospital | Ofallon | MO | 32 | $262.00 | $157.20 | $48.62 | $170.30 | $296.00 |
| Ranken Jordan | Maryland Heights | MO | 0 | $390.56 | $312.45 | — | — | — |
| Harrison County Community Hospital | Bethany | MO | 0 | $345.00 | $172.50 | — | — | — |
| Cox Medical Center Branson | Branson | MO | 0 | $441.95 | $100.32 | — | — | — |
| Barton County Memorial Hospital | Lamar | MO | 0 | $441.95 | $140.98 | — | — | — |
| Cox-Monett Hospital | Monett | MO | 0 | $441.95 | $134.79 | — | — | — |
| Moberly Regional Medical Center | Moberly | MO | 0 | $1,785.01 | $856.80 | — | — | — |
| Coxhealth | Springfield | MO | 0 | $441.95 | $111.37 | — | — | — |
| Northeast Regional Medical Center | Kirksville | MO | 0 | $2,199.83 | $1,209.91 | — | — | — |
| Missouri Delta Medical Center | Sikeston | MO | 0 | $695.50 | $173.88 | — | — | — |
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.