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PCI single major coronary artery

CPT 92920 · negotiated-rate distribution across hospitals in MO

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Hospitals
10
Min
$75.5
Median
$5,687.39
Max
$11,398
Range multiplier
151.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield638$85$7,909.98$21,031247.4×
Aetna425$45.6$5,313.83$31,216684.6×
Cigna624$60.9$6,779.23$19,116313.9×
UnitedHealthcare516$74.3$5,772.93$17,060229.6×
Humana616$66.5$6,690$12,384186.2×
consociate [478]514$4,635.36$6,906.6$13,3992.9×
allied benefits [498]514$58$74.3$31,216538.2×
cox health systems insurance company [220]513$55$65$7,034.5127.9×
phcs [244]510$75$80$10,232136.4×
healthscope benefits [258]510$65$9,134.35$17,060262.5×
med-pay [480]510$65$75$9,592.5147.6×
sarah bush lincoln [636]59$3,862.8$6,906.6$17,0604.4×
healthlink [225]39$48.5$65$75.51.6×
hope trust [806]58$58$4,978.72$9,145.44157.7×
medica [661]57$80$6,867.2$10,232127.9×
health alliance [224]57$55$4,721.2$8,710.8158.4×
healthcare sol mercy [609]57$75$6,438$9,592.5127.9×
unicare [568]36$65$70.25$75.51.2×
devoted health plan [847]35$5,845.1$11,626$13,0032.2×
medica [662]35$5,845.1$11,626$13,0032.2×
cox health [757]35$5,845.1$11,626$13,0032.2×
essence healthcare [221]35$5,700.75$11,563$12,3842.2×
apwu health plan [216]34$68.7$4,428.47$19,116278.3×
Multiplan44$75$75$14,347191.3×
Medicare24$5,313.83$5,632.61$11,6262.2×
nalc health benefit plan [242]34$68.7$4,428.47$19,116278.3×
priority health [648]34$68.7$4,428.47$19,116278.3×
First Health44$74.3$74.3$12,859173.1×
detego health [868]33$75$75$751.0×
php [503200005]13$11,708$11,821$14,4201.2×
preferred health professionals [561]33$75.5$75.5$75.51.0×
fmh benefit service inc [222]33$60.3$60.3$31,216517.7×
mail handlers [495]33$60.3$60.3$31,216517.7×
beechstreet [551]33$75$75$751.0×
coresource [497]33$60.3$60.3$31,216517.7×
hfn [563]33$80$80$801.0×
health systems inc [620]33$75$75$751.0×
healthlink [503200007]12$11,821$13,121$14,4201.2×
mercy behavioral health [573]22$25$25$251.0×
Workers Comp12$5,313.83$11,926$18,5373.5×
alt wppa [5032000964]12$10,628$11,224$11,8211.1×
centivo [5032000982]12$10,096$10,096$10,0961.0×
6 degrees health [503999050]12$10,362$11,823$13,2851.3×
triwest [503201703]11$5,313.83$5,313.83$5,313.831.0×
usa managed care [503999030]11$17,562$17,562$17,5621.0×
wellfit [503301514]11$10,096$10,096$10,0961.0×
wppa [503200056]11$16,391$16,391$16,3911.0×
accarent health [503999034]11$9,756.5$9,756.5$9,756.51.0×
advanced medical pricing solutions [503301513]11$15,942$15,942$15,9421.0×
aha-healthcare preferred [503200050]11$12,859$12,859$12,8591.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO36$72,821$43,693$25$80$21,031
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO37$66,909$40,145$25$75.5$20,564
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO14$12,444$7,466.4$6,122.45$7,217.52$9,955.2
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$36,241$21,745$48.5$5,687.39$31,216
PROGRESS WEST HOSPITALOFALLONMO15$8,584$5,150.4$3,862.8$4,978.72$7,468.08
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO59$19,513$3,902.6$5,313.83$11,398$18,537
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0$58,086$27,881
COX MEDICAL CENTER BRANSONBRANSONMO0$19,933$4,524.78
COXHEALTHSPRINGFIELDMO0$19,933$5,023.1
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0$27,168$14,942

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.