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CPT 81003 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$6.53
Median
$7.61
Max
$11.25
Range multiplier
1.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield314$2.12$3.83$14.116.7×
UnitedHealthcare37$2.25$6.53$47.421.1×
Aetna35$2.25$3.18$52.823.5×
Humana34$2.25$2.28$2.361.0×
Medicare13$2.25$2.25$2.361.0×
Kaiser Permanente23$2.25$3.18$8.213.6×
the health plan hmo12$18.48$34.44$50.42.7×
Medicare Advantage12$2.45$2.45$2.451.0×
umr12$17.38$32.39$47.42.7×
the health plan12$2.03$2.14$2.251.1×
Molina22$3.83$4.45$5.061.3×
Cigna22$4.5$8.55$12.62.8×
community health network of wa [1055]11$4.16$4.16$4.161.0×
coresource [150109]11$6.53$6.53$6.531.0×
Empire BCBS11$4.05$4.05$4.051.0×
employee benefit management services [150108]11$6.53$6.53$6.531.0×
fc moda health [150139]11$6.53$6.53$6.531.0×
first choice [150134]11$6.53$6.53$6.531.0×
first choice [8009]11$12.6$12.6$12.61.0×
first choice generic [8999]11$12.6$12.6$12.61.0×
first choice health administrators [150110]11$6.53$6.53$6.531.0×
first choice health comp [150112]11$6.53$6.53$6.531.0×
first choice umr [150138]11$6.53$6.53$6.531.0×
First Health11$3.18$3.18$3.181.0×
GEHA11$3.18$3.18$3.181.0×
Health Net11$6.53$6.53$6.531.0×
here [150114]11$6.53$6.53$6.531.0×
hotel employees health trust [150115]11$6.53$6.53$6.531.0×
international longshore & warehouse union [150116]11$6.53$6.53$6.531.0×
kitsap physician services [150118]11$6.53$6.53$6.531.0×
loomis benefits west [150119]11$6.53$6.53$6.531.0×
mega [150120]11$6.53$6.53$6.531.0×
mega life [8005]11$12.6$12.6$12.61.0×
mid west natl life [8006]11$12.6$12.6$12.61.0×
midwest [150121]11$6.53$6.53$6.531.0×
Multiplan11$13.44$13.44$13.441.0×
mutual of omaha [8007]11$12.6$12.6$12.61.0×
mva farmers [1026]11$13.44$13.44$13.441.0×
mva progressive [1027]11$13.44$13.44$13.441.0×
mva state farm [1028]11$13.44$13.44$13.441.0×
nw administrators [150123]11$6.53$6.53$6.531.0×
operating engineers [150125]11$6.53$6.53$6.531.0×
optum ccn region 111$2.25$2.25$2.251.0×
optum ccn region 211$2.25$2.25$2.251.0×
pacific source [8008]11$12.6$12.6$12.61.0×
pacific source administrators [8010]11$12.6$12.6$12.61.0×
painters trust [150126]11$6.53$6.53$6.531.0×
providence health [130125]11$4.5$4.5$4.51.0×
puget sound electric [150131]11$6.53$6.53$6.531.0×
seattle plumb and pipe [150132]11$6.53$6.53$6.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WENATCHEE VALLEY HOSPITALWENATCHEEWA27$14$12.6$2.36$7.61$13.44
VALLEY MEDICAL CENTERRENTONWA46$68.4$47.88$2.12$6.53$8.21
EAST ADAMS RURAL HOSPITALRITZVILLEWA11$60$36$2.03$11.25$52.8
KFH - WASHINGTONSEATTLEWA0$43$34.4

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.