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CPT 81003 · negotiated-rate distribution across hospitals in MO

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Hospitals
18
Min
$8.78
Median
$21.77
Max
$71.08
Range multiplier
8.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield950$2.39$22.1$59.124.7×
Aetna944$2.25$18.78$71.0831.6×
Cigna1041$2.25$12.11$71.0831.6×
UnitedHealthcare936$2.25$8.87$71.0831.6×
allied benefits [498]721$3.89$21.11$29.727.6×
cox health systems insurance company [220]721$13.65$19.25$261.9×
healthlink [225]721$10.19$19.4$30.23.0×
Humana918$2.27$8.88$71.0831.3×
med-pay [480]714$13.65$24.38$302.2×
unicare [568]714$13.65$24.38$30.22.2×
phcs [244]714$15.75$27.13$322.0×
healthscope benefits [258]714$2.7$8.84$269.6×
consociate [478]714$3.75$3.9$11.383.0×
First Health913$3.95$19.32$50.7412.8×
Anthem BCBS212$6.67$41.6$71.0810.7×
php [503200005]112$3.6$18.38$56.915.8×
Workers Comp19$3.12$13.3$81.9926.3×
Multiplan89$8.78$19.5$303.4×
sarah bush lincoln [636]78$2.7$3.9$11.384.2×
healthlink [503200007]18$3.63$18.51$56.915.7×
apwu health plan [216]77$4.8$24.57$27.485.7×
hfn [563]77$17.85$28$321.8×
detego health [868]77$15.75$26.25$301.9×
healthcare sol mercy [609]77$15.75$26.25$301.9×
health systems inc [620]77$15.75$26.25$301.9×
hope trust [806]77$12.18$20.3$23.21.9×
fmh benefit service inc [222]77$3.89$21.11$24.126.2×
health alliance [224]77$14.3$19.25$221.5×
beechstreet [551]77$15.75$26.25$301.9×
nalc health benefit plan [242]77$4.8$24.57$27.485.7×
preferred health professionals [561]77$15.86$26.43$30.21.9×
coresource [497]77$3.89$21.11$24.126.2×
medica [661]77$16.8$28$321.9×
priority health [648]77$4.8$24.57$27.485.7×
mail handlers [495]77$3.89$21.11$24.126.2×
Empire BCBS26$4.61$11.43$59.112.8×
Meritain Health26$5.04$50.82$71.0814.1×
Medicaid25$8.78$12.11$71.088.1×
accarent health [503999034]14$3$14.5$38.512.8×
inter-americas insurance [503999032]14$3.63$17.57$46.6512.9×
cerner [503200038]14$3.63$17.57$46.6512.9×
larned state hospital [503200090]14$1.77$8.56$22.7212.8×
century health solutions [503200054]14$4.8$23.2$61.612.8×
essence healthcare [221]44$2.32$5.56$8.83.8×
aha-healthcare preferred [503200050]14$3.95$19.12$50.7412.8×
employers health network [503999025]14$5.4$26.1$69.312.8×
medica [662]44$2.36$5.89$9.424.0×
health plan inc [503999941]14$2.82$13.63$36.1912.8×
alt wppa [5032000964]14$3.63$17.57$46.6512.9×
GEHA14$3.63$17.57$46.6512.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO70$12.11$12.11$5.27$8.78$12.11
MERCY HOSPITAL - ST. LOUISST. LOUISMO19$71.08$71.08$71.08$71.08$71.08
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO32$40$24$2.3$26.3$34.8
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO36$40$24$2.27$25.34$34.8
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO36$40$24$2.27$25.34$34.8
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO37$35$21$2.25$21.77$30.66
PROGRESS WEST HOSPITALOFALLONMO32$26$15.6$2.3$16.9$26
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO32$26$15.6$2.3$15.99$26
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$21$12.6$2.25$14.97$17.85
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO36$77$15.4$1.77$12.79$81.99
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$45$22.5
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0$141.37$67.86
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$46$11.5
COX-MONETT HOSPITALMONETTMO0$63.27$19.3
COXHEALTHSPRINGFIELDMO0$63.27$15.94
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0$157.46$86.6
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0$63.27$20.18
COX MEDICAL CENTER BRANSONBRANSONMO0$63.27$14.36

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.