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CPT 81003 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$2.25
Median
$2.32
Max
$3.15
Range multiplier
1.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$1.79$4.59$11.116.2×
UnitedHealthcare12128$1.44$2.24$16.9011.7×
Cigna12122$2.23$4.66$9.014.0×
Aetna1248$2.29$3.19$60.3226.3×
Humana1127$2.25$2.25$4.632.1×
Medicare827$2.11$2.25$2.361.1×
community plan718$1.57$2.03$2.031.3×
Medicare Advantage817$2.25$2.25$2.251.0×
optum va714$2.25$2.25$2.251.0×
nhc advantage714$2.25$2.25$2.251.0×
point comfort underwriters714$2.02$2.02$2.021.0×
smart health714$3.15$3.15$3.151.0×
healthspring mcr replacement714$2.25$2.25$2.251.0×
amerigroup mcr replacement714$2.25$2.25$2.321.0×
centurion of tn714$2.25$2.25$2.251.0×
Ambetter714$2.93$2.93$2.931.0×
ascension complete612$2.25$2.25$2.251.0×
wellpoint39$1.01$2.36$2.362.3×
Oscar Health77$3.15$3.15$3.151.0×
Self-Pay (Cash)77$2.25$2.25$2.251.0×
medsave usa36$1.00$9.70$18.4018.4×
national provider network36$1.00$9.70$18.4018.4×
beech street36$1.06$10.31$19.5518.4×
direct care america36$1.00$9.70$18.4018.4×
triwest va pccc36$2.25$2.25$2.251.0×
devoted health36$2.36$2.36$2.361.0×
farm bureau36$2.34$2.34$2.341.0×
initial group36$1.10$10.67$20.2418.4×
Medicaid16$2.03$2.40$3.201.6×
galaxy health network36$1.12$10.91$20.7018.5×
ccn managed care36$1.06$10.31$19.5518.4×
TRICARE45$2.16$2.25$2.251.0×
novanet33$17.25$17.25$17.251.0×
ehn33$10.35$10.35$10.351.0×
correctional medical services33$13.80$13.80$13.801.0×
community services network33$14.95$14.95$14.951.0×
optum33$2.25$2.25$2.251.0×
usa managed care organization33$16.10$16.10$16.101.0×
WellCare33$2.36$2.36$2.361.0×
Molina12$2.03$2.29$2.541.3×
americhoice mcr replacement12$2.11$2.17$2.231.1×
amerigroup11$2.09$2.09$2.091.0×
tenncare11$1.49$1.49$1.491.0×
transplant optum tenncare [350013]11$1.64$1.64$1.641.0×
generic hospice vbid [10940000101]11$2.25$2.25$2.251.0×
devoted health [450111]11$2.32$2.32$2.321.0×
va hospital [600005]11$2.25$2.25$2.251.0×
bluecare11$1.49$1.49$1.491.0×
amerigroup mcaid replacement11$2.09$2.09$2.091.0×
carecentrix [450200]11$2.25$2.25$2.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Thomas Hickman HospitalCentervilleTN5$2.03$3.15$9.01
Roane County Medical CenterHarrimanTN23$23.00$7.13$1.00$2.36$20.70
Morristown-Hamblen HospitalMorristownTN23$23.00$7.13$1.00$2.36$20.70
Fort Loudoun Medical CenterLenoir CityTN23$23.00$7.36$1.00$2.36$20.70
Metro Nashville General HospitalNashvilleTN4$48.00$28.80$1.49$2.34$26.40
Saint Thomas West HospitalNashvilleTN20$116.00$34.80$1.79$2.32$60.32
Saint Thomas Rutherford HospitalMurfreesboroTN20$116.00$34.80$1.79$2.32$60.32
Saint Thomas Midtown HospitalNashvilleTN21$1.79$2.25$9.01
Methodist H/C Memphis Hospt.MemphisTN14$31.00$6.82$1.64$2.25$16.90
St Thomas Dekalb HospitalSmithvilleTN19$116.00$34.80$1.57$2.25$60.32
Ascension St Thomas River ParkMcminnvilleTN20$116.00$34.80$1.57$2.25$60.32
Saint Thomas Highland HospitalSpartaTN19$116.00$34.80$1.57$2.25$60.32
Saint Thomas Stones River HospitalWoodburyTN19$116.00$34.80$1.57$2.25$60.32
Big South Fork Medical CenterOneidaTN0$14.00$4.20
St Thomas AscensionNashvilleTN0$144.69$35.74

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.