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CPT 81003 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$2.25
Median
$12.09
Max
$27.74
Range multiplier
12.3×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1373$1.91$18.27$78.6941.2×
Aetna1465$2.25$14.82$83.7037.2×
UnitedHealthcare1340$2.25$15.27$67.1429.8×
Humana1436$2.07$2.25$38.1018.4×
WellCare1435$2.25$3.74$23.4010.4×
caresoure kentucky1119$13.20$30.60$54.004.1×
umr1117$2.25$33.53$67.1429.8×
optum ccn region 21214$2.25$3.00$12.095.4×
optum ccn region 11214$2.25$3.00$12.095.4×
Molina1212$2.25$2.25$2.251.0×
Cigna26$2.25$23.93$30.1413.4×
medcost16$8.76$14.26$26.763.1×
Multiplan25$34.00$34.00$36.001.1×
Blue Cross Blue Shield14$5.84$8.42$9.421.6×
center care13$30.14$30.14$30.141.0×
First Health13$34.00$34.00$34.001.0×
commonwealth health alliance13$36.00$36.00$36.001.0×
beacon health12$2.25$2.25$2.251.0×
national provider network12$36.00$36.00$36.001.0×
the health plan12$2.03$2.14$2.251.1×
private healthcare systems12$32.80$32.80$32.801.0×
beechstreet12$35.20$35.20$35.201.0×
oscar12$12.80$15.20$17.601.4×
christian county health dept-cchd12$2.25$2.25$2.251.0×
amerihealth12$4.09$5.06$6.031.5×
directnet12$23.64$23.64$23.641.0×
healthgram12$32.00$32.00$32.001.0×
healthgram lexington home brands12$28.80$28.80$28.801.0×
alliance11$4.17$4.17$4.171.0×
amerigroup11$2.25$2.25$2.251.0×
CareSource11$3.04$3.04$3.041.0×
carolina complete11$4.09$4.09$4.091.0×
healthy blue11$4.09$4.09$4.091.0×
Ambetter11$6.12$6.12$6.121.0×
partners11$4.09$4.09$4.091.0×
trillium11$4.21$4.21$4.211.0×
alliance coal11$2.25$2.25$2.251.0×
va community care network11$2.25$2.25$2.251.0×
vaya11$4.13$4.13$4.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mcdowell ArhMcdowellKY10$57.00$34.20$2.25$9.69$50.16
Mary Breckinridge HospitalHydenKY10$63.00$37.80$2.25$9.54$55.44
Barbourville Arh HospitalBarbourvilleKY10$41.00$24.60$2.25$7.04$36.08
Tug Valley ArhSouth WilliamsonKY11$56.00$33.60$1.91$5.06$50.40
Jennie Stuart Medical CenterHopkinsvilleKY16$40.00$12.40$2.07$27.74$38.10
Paintsville Arh HospitalPaintsvilleKY9$90.00$54.00$1.91$2.25$78.69
Highlands Regional Medical CenterPrestonsburgKY10$90.00$54.00$1.91$2.25$59.60
Baptist Health LexingtonLexingtonKY23$40.00$20.00$4.09$17.60$36.96
Harlan ArhHarlanKY10$90.00$54.00$1.91$16.41$83.70
Whitesburg ArhWhitesburgKY10$53.00$31.80$1.91$14.31$49.29
Hazard ArhHazardKY10$60.00$36.00$1.91$13.93$54.00
Middlesboro ArhMiddlesboroKY10$45.00$27.00$1.91$13.20$41.85
Morgan Co. ArhWest LibertyKY10$57.00$34.20$2.25$12.09$50.16
Our Lady Of The WayMartinKY8$57.00$34.20$2.25$11.40$50.16
Spring View HospitalLebanonKY0$330.11$132.04

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.