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CPT 81003 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$2.25
Median
$2.25
Max
$75
Range multiplier
33.3×

By payer (42 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6130$1.66$2.25$3.061.8×
Medicaid624$2.25$2.25$2.251.0×
UnitedHealthcare722$2.25$3.14$3.291.5×
Humana722$2.21$5.13$5.632.5×
Aetna515$1.98$3.49$7.433.8×
smarthealth ppo614$1.32$2.25$2.652.0×
patoka valley tier 1614$1.66$1.66$1.661.0×
patoka valley tier 2614$1.66$1.66$1.661.0×
smarthealth ppo/hdhp 20161001612$1.32$1.99$2.652.0×
mhs care connect612$2.25$2.25$2.251.0×
Medicare36$2.25$2.25$2.251.0×
encore exclusive66$1.66$1.66$1.661.0×
Medicare Advantage36$2.25$2.25$2.291.0×
Cigna15$2.27$5.65$10.454.6×
occunet13$4.16$5.06$28.256.8×
WellCare12$2.25$2.25$2.251.0×
Ambetter12$4.27$4.27$4.271.0×
avmed exchange12$4.05$4.05$4.051.0×
bc advantage mcr replacement12$2.25$2.25$2.251.0×
Blue Cross Blue Shield12$2.25$2.25$2.251.0×
careplus mcr replacement12$2.29$2.29$2.291.0×
corizon22$2.25$2.25$2.251.0×
employer direct healthcare12$3.94$3.94$3.941.0×
helping hand old order22$2.25$2.25$2.251.0×
immergrun22$2.25$2.25$2.251.0×
Molina12$4.16$4.16$4.161.0×
Oscar Health12$3.6$3.6$3.61.0×
pace place12$2.25$2.25$2.251.0×
personalized care22$2.25$2.25$2.251.0×
research study encore borland-groover12$2.25$2.25$2.251.0×
secure horizons-pacificare22$2.25$2.25$2.251.0×
secure horizons-unicare22$2.25$2.25$2.251.0×
smarthealth12$3.15$3.15$3.151.0×
VA Health12$2.25$2.25$2.251.0×
90 degree benefits12$4.05$4.05$4.051.0×
haven hospice11$2.25$2.25$2.251.0×
prime health services11$85$85$851.0×
quik trip11$75$75$751.0×
community hospice11$2.25$2.25$2.251.0×
america's choice provider11$70$70$701.0×
usa managed care organization11$75$75$751.0×
velocity provider ppo network11$75$75$751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN5$100$100$70$75$85
ASCENSION ST. VINCENT DUNNBEDFORDIN23$28.25$10.45$1.98$2.31$28.25
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN11$40$24$1.32$2.25$7.43
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN19$171$102.6$1.32$2.25$5.13
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN19$138$82.8$1.32$2.25$5.13
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN10$169$101.4$1.32$2.25$5.13
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN10$169$101.4$1.32$2.25$5.13
ST. MARY MEDICAL CENTER INC.HOBARTIN11$40$24$1.32$2.25$7.43
DUPONT HOSPITALFORT WAYNEIN0$90$40.5
LAPORTE HOSPITALLAPORTEIN0$143.22$77.34
DUKES MEMORIAL HOSPITALPERUIN0$77$42.35
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$77.7$65.27
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$116$31.32
MARION GENERAL HOSPITALMARIONIN0$4$2.4
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$86$30.96
PORTER REGIONAL HOSPITALVALPARAISOIN0$72$25.92
GOOD SAMARITAN HOSPITALVINCENNESIN0$11.99$11.75
SCHNECK MEDICAL CENTERSEYMOURIN0$20$14
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$110$60.5
STARKE MEMORIAL HOSPITALKNOXIN0$143.22$78.77

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.