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CPT 81003 · negotiated-rate distribution across hospitals in OH

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Hospitals
28
Min
$2.19
Median
$38.18
Max
$52.92
Range multiplier
24.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$2.25$34.86$68.0030.2×
Anthem BCBS18102$1.06$7.84$67.8164.0×
Aetna2095$2.00$5.55$54.0627.0×
Cigna1984$1.24$38.08$58.0946.8×
UnitedHealthcare2082$1.23$18.74$67.0054.5×
ohio health choice1872$9.81$53.95$74.707.6×
healthsmart1752$1.50$44.20$56.7037.8×
First Health1944$1.80$56.44$68.8938.3×
the health plan1843$2.25$16.66$55.4424.6×
summacare1642$2.25$20.40$57.3325.5×
ohio preferred network1638$12.00$61.20$74.706.2×
Multiplan1734$11.70$61.20$74.706.4×
Humana2032$1.15$3.55$29.5025.7×
immergrun1530$31.50$41.50$41.501.3×
century health network1530$53.55$70.55$70.551.3×
christian healthcare ministries1530$31.50$41.50$41.501.3×
private healthcare system1530$54.18$71.38$71.381.3×
clarity1530$32.64$39.84$56.701.7×
buckeye plain ministries1530$28.98$38.18$38.181.3×
beech street1530$50.40$66.40$74.701.5×
configurenet1530$56.70$74.70$74.701.3×
aultcare1630$1.11$25.92$56.7051.1×
amish church fund and workers aid plan1530$28.98$38.18$38.181.3×
fortified provider network1530$56.70$74.70$74.701.3×
amish aid community plan1530$28.98$38.18$38.181.3×
Molina1824$2.25$2.25$21.089.4×
medical mutual traditional/health ohio1122$44.10$47.60$58.101.3×
CareSource1621$3.83$4.05$37.949.9×
medical mutual120$5.44$17.09$43.077.9×
Medicare220$2.19$23.85$25.0411.4×
jp farley1416$31.96$39.43$56.701.8×
Ambetter1516$4.05$4.05$38.089.4×
sunrise plan communities816$34.00$41.50$41.501.2×
perennial advantage of ohio1515$2.36$2.36$22.139.4×
paramount1515$2.32$2.32$21.719.4×
WellCare1515$2.25$2.25$21.089.4×
valor health plans1515$2.36$2.36$22.139.4×
primetime health plan1515$2.25$2.25$21.089.4×
devoted health1414$2.25$2.25$13.606.0×
university health employee plan (contigo)1314$3.13$3.13$34.0010.9×
sunrise plain communities714$31.50$34.00$41.501.3×
Medicaid212$1.23$1.91$53.0043.1×
transplants-case rates [5750]111$18.55$23.85$43.702.4×
health ohio network48$39.44$39.44$45.561.2×
enterprise group planning48$38.08$38.08$47.601.3×
Blue Cross Blue Shield26$3.44$8.97$9.202.7×
commercial-contracted [8000]14$25.44$35.34$39.751.6×
buckeye14$5.55$12.67$20.473.7×
ohio ppo connect24$8.62$8.62$8.621.0×
integrated health plan12$11.70$11.70$11.701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fayette County Memorial HospWashington Court HouseOH18$12.32$6.16$1.06$8.17$16.21
Adena Regional Medical CenterChillicotheOH21$12.32$6.16$2.25$7.84$16.38
Uh Samaritan Medical CenterAshlandOH38$63.00$47.25$2.25$52.92$62.43
Rainbow Babies & Childrens HospitalClevelandOH40$68.00$51.00$1.06$43.04$61.20
Uh Ahuja Medical CenterBeachwoodOH38$83.00$62.25$1.06$41.50$74.70
Uh St. John Medical CenterWestlakeOH38$83.00$62.25$1.06$41.50$74.70
Uh Regional HospitalsRichmond HeightsOH37$83.00$62.25$1.06$41.50$74.70
Uh Portage Medical CenterRavennaOH37$83.00$62.25$2.25$41.50$74.70
Uh Parma Medical CenterParmaOH37$83.00$62.25$1.06$41.50$74.70
Uh Geauga Medical CenterChardonOH37$83.00$62.25$1.06$41.50$74.70
Uh Elyria Medical CenterElyriaOH38$83.00$62.25$2.25$39.84$74.70
Lake Hospital SystemConcordOH36$83.00$62.25$1.24$38.18$74.70
University Hospitals Rehab HospitalBeachwoodOH40$68.00$51.00$1.06$38.08$61.20
University Hospitals Avon Rehab HospAvonOH40$68.00$51.00$1.06$38.08$61.20
Uh Cleveland Medical CenterClevelandOH40$68.00$51.00$1.06$38.08$61.20
Uh Conneaut Medical CenterConneautOH38$68.00$51.00$1.06$38.01$64.60
Uh Geneva Medical CenterGenevaOH37$68.00$51.00$1.06$37.74$68.00
Adams County Regional Medical CenterSeamanOH10$53.00$31.80$1.91$30.16$53.00
St. Lukes HospitalMaumeeOH13$29.80$14.90$1.23$2.19$25.00
Twin City HospitalDennisonOH16$59.00$29.27$1.11$17.00$53.69
Wilson Memorial HospitalSidneyOH0$36.75$18.38
Good Samaritan HospitalCincinnatiOH0$10.21$7.66
Wayne Hospital CompanyGreenvilleOH0$10.00$7.50
Bethesda HospitalCincinnatiOH0$10.21$7.66
Henry County Hospital (Cah)NapoleonOH0$35.00$26.25
Harrison Community HospitalCadizOH0$45.00$22.50
Barnesville HospitalBarnesvilleOH0$69.00$34.50
Mccullough-Hyde Memorial HospitalOxfordOH0$9.23$6.92

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.