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CPT 81003 · negotiated-rate distribution across hospitals in CO

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Hospitals
7
Min
$2.44
Median
$19.00
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$21.60$39.0017.6×
Aetna24$2.25$18.15$50.1622.3×
charge amount14$11.00$26.00$56.005.1×
Humana24$2.21$7.17$18.908.6×
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$18.90$18.90$18.901.0×
health management network11$22.95$22.95$22.951.0×
intergroup11$61.16$61.16$61.161.0×
medincrease11$73.40$73.40$73.401.0×
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$1,000.00$1,000.00$1,000.001.0×
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$21.60$21.60$21.601.0×
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$18.90$18.90$18.901.0×
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$73.40
Pioneers Medical CenterMeekerCO2$44.80$1.35$22.79$59.93
Rio Grande HospitalDel NorteCO6$198.38$39.68$1.89$2.44$1,000.00
Mt. San Rafael HospitalTrinidadCO2$43.00$30.00$11.00$19.00$39.00
Animas Surgical HospitalDurangoCO20$27.00$2.02$18.23$25.25
East Morgan County HospitalBrushCO10$57.00$34.20$2.25$12.09$50.16
Vail Valley Medical CenterVailCO0$233.00$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.