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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$205.4630.0×
Aetna1452$8.07$39.51$206.825.6×
Humana1434$7.42$17.39$58.17.8×
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$124.2$152.751.6×
Cigna26$8.07$19.76$45.975.7×
medcost16$9.86$16.05$30.113.1×
Multiplan25$19.55$40.5$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$20.7$54.9$54.92.7×
directnet12$26.6$26.6$26.61.0×
private healthcare systems12$36.9$36.9$36.91.0×
healthgram12$36$36$361.0×
healthgram lexington home brands12$32.4$32.4$32.41.0×
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$40.5$40.5$40.51.0×
beechstreet12$39.6$39.6$39.61.0×
oscar12$14.4$17.1$19.81.4×
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$116.4$6.86$8.07$180.42
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$202$121.2$6.86$8.07$133.76
MIDDLESBORO ARHMIDDLESBOROKY10$181$108.6$6.86$8.07$168.33
HAZARD ARHHAZARDKY10$212$127.2$6.86$8.07$190.8
TUG VALLEY ARHSOUTH WILLIAMSONKY11$207$124.2$6.86$8.07$186.3
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$202$121.2$6.86$8.07$176.61
MORGAN CO. ARHWEST LIBERTYKY10$235$141$49.35$50.09$206.8
OUR LADY OF THE WAYMARTINKY8$235$141$47$47$206.8
MCDOWELL ARHMCDOWELLKY10$235$141$39.95$40.55$206.8
MARY BRECKINRIDGE HOSPITALHYDENKY10$235$141$35.25$35.78$206.8
HARLAN ARHHARLANKY10$202$121.2$6.86$32.32$187.86
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY10$151$90.6$8.07$25.93$132.88
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$45$22.5$6.57$19.87$41.58
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$61$18.91$7.42$17.33$58.1
SPRING VIEW HOSPITALLEBANONKY0$465.51$186.2

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.