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Urine culture bacterial

CPT 87086 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$8.07
Median
$19.87
Max
$50.09
Range multiplier
6.2×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1355$6.86$47.00$205.4630.0×
Aetna1452$8.07$39.51$206.8025.6×
Humana1434$7.42$17.39$58.107.8×
UnitedHealthcare1332$8.07$17.51$175.7821.8×
WellCare1428$8.07$25.93$52.526.5×
optum ccn region 21212$8.07$8.07$49.846.2×
Molina1212$8.07$17.13$50.346.2×
optum ccn region 11212$8.07$8.07$49.846.2×
umr1111$8.07$148.22$175.7821.8×
caresoure kentucky1111$98.15$124.20$152.751.6×
Cigna26$8.07$19.76$45.975.7×
medcost16$9.86$16.05$30.113.1×
Multiplan25$19.55$40.50$51.852.7×
Blue Cross Blue Shield14$6.57$9.47$10.591.6×
First Health13$19.55$51.85$51.852.7×
center care13$17.33$45.97$45.972.7×
commonwealth health alliance13$20.70$54.90$54.902.7×
directnet12$26.60$26.60$26.601.0×
private healthcare systems12$36.90$36.90$36.901.0×
healthgram12$36.00$36.00$36.001.0×
healthgram lexington home brands12$32.40$32.40$32.401.0×
amerihealth12$6.79$10.73$14.672.2×
beacon health12$8.07$8.07$8.071.0×
christian county health dept-cchd12$8.07$8.07$8.071.0×
national provider network12$40.50$40.50$40.501.0×
beechstreet12$39.60$39.60$39.601.0×
oscar12$14.40$17.10$19.801.4×
the health plan12$7.26$7.67$8.071.1×
alliance11$14.97$14.97$14.971.0×
amerigroup11$8.07$8.07$8.071.0×
CareSource11$10.89$10.89$10.891.0×
carolina complete11$14.67$14.67$14.671.0×
healthy blue11$14.67$14.67$14.671.0×
Ambetter11$6.89$6.89$6.891.0×
partners11$14.67$14.67$14.671.0×
trillium11$15.11$15.11$15.111.0×
alliance coal11$8.07$8.07$8.071.0×
va community care network11$8.07$8.07$8.071.0×
vaya11$14.82$14.82$14.821.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Whitesburg ArhWhitesburgKY10$194.00$116.40$6.86$8.07$180.42
Highlands Regional Medical CenterPrestonsburgKY10$202.00$121.20$6.86$8.07$133.76
Middlesboro ArhMiddlesboroKY10$181.00$108.60$6.86$8.07$168.33
Hazard ArhHazardKY10$212.00$127.20$6.86$8.07$190.80
Tug Valley ArhSouth WilliamsonKY11$207.00$124.20$6.86$8.07$186.30
Paintsville Arh HospitalPaintsvilleKY9$202.00$121.20$6.86$8.07$176.61
Morgan Co. ArhWest LibertyKY10$235.00$141.00$49.35$50.09$206.80
Our Lady Of The WayMartinKY8$235.00$141.00$47.00$47.00$206.80
Mcdowell ArhMcdowellKY10$235.00$141.00$39.95$40.55$206.80
Mary Breckinridge HospitalHydenKY10$235.00$141.00$35.25$35.78$206.80
Harlan ArhHarlanKY10$202.00$121.20$6.86$32.32$187.86
Barbourville Arh HospitalBarbourvilleKY10$151.00$90.60$8.07$25.93$132.88
Baptist Health LexingtonLexingtonKY23$45.00$22.50$6.57$19.87$41.58
Jennie Stuart Medical CenterHopkinsvilleKY16$61.00$18.91$7.42$17.33$58.10
Spring View HospitalLebanonKY0$465.51$186.20

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.