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CPT 81003 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$16.9
Median
$45.59
Max
$45.59
Range multiplier
2.7×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE463$13.16$19.4$32.412.5×
UnitedHealthcare436$2.25$46.06$46.0620.5×
Blue Cross Blue Shield525$13.49$30$473.5×
govt employees health assn [3081090]424$31.02$46.06$46.061.5×
Cigna424$45.12$46.53$46.531.0×
medica (commercial) 94265 [3081118]424$39.01$46.06$46.061.2×
healthpartners [3081368]523$3.79$3.79$46.0612.2×
Meritain Health416$45.12$46.53$46.531.0×
national telephone cooperative assn 52103 [3081149]416$31.02$46.06$46.061.5×
risk admin svs [3081167]416$4.49$21.05$37.68.4×
Aetna412$42.3$43.48$44.651.1×
Humana49$2.36$47$4719.9×
tlc advantage llc [3081189]59$40.89$44.18$46.061.1×
health partners sx009 [3081102]48$3.79$16.47$46.0612.2×
fedmed inc [3081283]48$44.65$45.59$45.591.0×
midlands choice 47080 [3081136]48$45.12$46.53$46.531.0×
employee benefit management 12x44 [3081079]48$39.95$42.3$42.31.1×
pacificsource health plans [3081333]48$39.95$42.3$42.31.1×
preferred one 41147 [3081160]48$45.12$46.53$46.531.0×
coresource 38225 [3081146]48$30.55$42.3$42.31.4×
rocky mountain admin llc 83028 [3081168]48$37.6$42.3$42.31.1×
sanford health plan 91184 [3081174]48$42.3$45.59$45.591.1×
surest [3081369]48$31.02$46.06$46.061.5×
avera health plans 46045 [3081018]48$34.55$45.59$45.591.3×
allied benefit systems inc [3081320]48$45.12$46.53$46.531.0×
key benefit administrators [3081332]48$45.12$46.53$46.531.0×
va ccn optum [3081339]44$2.25$13.16$17.397.7×
group and pension administrators inc [3081098]24$42.3$43.95$45.591.1×
Medicare44$2.25$13.16$17.397.7×
va black hills health care system 12115 [3081206]44$2.25$13.16$17.397.7×
Multiplan24$42.3$43.95$45.591.1×
Health Net33$13.16$13.16$17.391.3×
triwest healthcare alliance [3081322]33$13.16$13.16$17.391.3×
va black hills health care system 12115 [3081207]33$13.16$13.16$17.391.3×
VA Health33$13.16$13.16$17.391.3×
minnesota health care programs 12k16 [3081295]12$14.24$14.24$14.241.0×
healthpartners sx009 [3081102]11$3.79$3.79$3.791.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH LEAD-DEADWOOD HOSPITDEADWOODSD33$47$47$3.79$45.59$47
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$47$47$3.79$45.59$47
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$47$47$3.79$45.59$47
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD32$47$47$2.25$37.6$45.12
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD4$49$49$3.79$16.9$46.06

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.