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CPT 81003 · negotiated-rate distribution across hospitals in CO

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Hospitals
7
Min
$2.44
Median
$19
Max
$61.16
Range multiplier
25.1×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
negotiated charge112$1.35$22.79$59.9344.4×
UnitedHealthcare36$2.02$12.91$42.6421.1×
TRICARE16$2.44$2.44$2.441.0×
Blue Cross Blue Shield25$2.21$21.6$3917.6×
Aetna24$2.25$18.15$50.1622.3×
charge amount14$11$26$565.1×
Humana24$2.21$7.17$18.98.6×
Anthem BCBS14$2.25$29.72$49.8422.2×
WellCare12$2.25$7.17$12.095.4×
devon health services11$65.24$65.24$65.241.0×
friday health plan11$18.9$18.9$18.91.0×
health management network11$22.95$22.95$22.951.0×
intergroup11$61.16$61.16$61.161.0×
medincrease11$73.4$73.4$73.41.0×
Molina11$2.25$2.25$2.251.0×
Multiplan11$65.24$65.24$65.241.0×
optum ccn region 111$12.09$12.09$12.091.0×
optum ccn region 211$12.09$12.09$12.091.0×
point comfort underwrite inc [50215]11$1.89$1.89$1.891.0×
police departments [50065]11$1,000$1,000$1,0001.0×
presbyterian of nm: mcd11$2.88$2.88$2.881.0×
presbyterian of nm: mcr ppo11$2.21$2.21$2.211.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$21.6$21.6$21.61.0×
presbyterian of nm: php salud plan11$20.25$20.25$20.251.0×
prime health services11$69.32$69.32$69.321.0×
provider network of amercia11$61.16$61.16$61.161.0×
quik trip11$61.16$61.16$61.161.0×
rocky mountain health plan: commercial ip11$17.55$17.55$17.551.0×
rocky mountain health plan: commercial op11$18.9$18.9$18.91.0×
rocky mountain health plan: mcd11$2.52$2.52$2.521.0×
rocky mountain health plan: mcr adv11$2.21$2.21$2.211.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
triwest hc alliance [50269]11$2.44$2.44$2.441.0×
umr11$42.64$42.64$42.641.0×
usa managed care organization11$61.16$61.16$61.161.0×
velocity provider ppo network11$61.16$61.16$61.161.0×
Workers Comp11$3.66$3.66$3.661.0×
allsavers ip11$20.25$20.25$20.251.0×
allsavers op11$2.02$2.02$2.021.0×
america's choice11$57.09$57.09$57.091.0×
caresoure kentucky11$37.05$37.05$37.051.0×
champ va [50319]11$2.44$2.44$2.441.0×
child health plan+11$17.55$17.55$17.551.0×
Cigna11$25.25$25.25$25.251.0×
cofinity11$20.25$20.25$20.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PAM SPECIALTY HOSPITAL OF DENVERDENVERCO10$81.55$81.55$57.09$61.16$73.4
PIONEERS MEDICAL CENTERMEEKERCO2$44.8$1.35$22.79$59.93
RIO GRANDE HOSPITALDEL NORTECO6$198.38$39.68$1.89$2.44$1,000
MT. SAN RAFAEL HOSPITALTRINIDADCO2$43$30$11$19$39
ANIMAS SURGICAL HOSPITALDURANGOCO20$27$2.02$18.23$25.25
EAST MORGAN COUNTY HOSPITALBRUSHCO10$57$34.2$2.25$12.09$50.16
VAIL VALLEY MEDICAL CENTERVAILCO0$233$174.75

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.