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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in GA

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Hospitals
6
Min
$1,257.90
Median
$9,219.82
Max
$22,049
Range multiplier
17.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield522$1,019.50$11,177$34,35533.7×
UnitedHealthcare515$598.29$9,219.82$24,58041.1×
Cigna513$1,018.30$12,087$24,02723.6×
Aetna413$1,078.20$11,444$21,33119.8×
Humana410$598.29$8,406.41$12,08720.2×
WellCare49$1,198.00$9,588.61$12,69110.6×
First Health39$1,138.10$12,058$22,51619.8×
CareSource37$2,325.65$9,404.22$20,1648.7×
Health Net16$598.29$6,642.51$22,99038.4×
banner health13$598.29$1,198.00$12,08720.2×
devoted health23$1,269.88$11,868$12,81210.1×
secure health op rate22$6,699.00$6,699.00$6,699.001.0×
alliant op rate22$4,635.00$4,635.00$4,635.001.0×
Ambetter22$12,908$12,908$12,9081.0×
amerigroup op rate22$2,042.19$2,445.12$2,848.041.4×
arizona medical network12$1,198.00$6,642.51$12,08710.1×
beech street op rate22$12,058$12,058$12,0581.0×
bridgeway health solutions12$1,198.00$6,642.51$12,08710.1×
dodge cty op rate22$3,215.52$3,215.52$3,215.521.0×
health choice pathway12$1,198.00$6,642.51$12,08710.1×
health management network12$1,198.00$6,642.51$12,08710.1×
imperial insurance12$1,257.90$6,974.64$12,69110.1×
peach state12$11,868$12,847$13,8271.2×
phcs op rate22$12,326$12,326$12,3261.0×
riverwood behavioral health12$11,522$12,963$14,4031.3×
rural arizona network12$1,198.00$6,642.51$12,08710.1×
sonder health plan12$12,098$12,098$12,0981.0×
united mine workers of america12$1,198.00$6,642.51$12,08710.1×
acchs11$598.29$598.29$598.291.0×
Medicare11$11,522$11,522$11,5221.0×
mercy care11$628.21$628.21$628.211.0×
Multiplan11$11,522$11,522$11,5221.0×
naphcare11$17,860$17,860$17,8601.0×
novanet11$11,522$11,522$11,5221.0×
Oscar Health11$14,979$14,979$14,9791.0×
arizona complete health11$598.29$598.29$598.291.0×
peach state health plan op rate11$2,285.74$2,285.74$2,285.741.0×
peach state hp op rate11$2,882.36$2,882.36$2,882.361.0×
three rivers11$11,522$11,522$11,5221.0×
prime health services11$11,522$11,522$11,5221.0×
corvel11$11,522$11,522$11,5221.0×
provider select11$11,522$11,522$11,5221.0×
employer direct healthcare11$16,131$16,131$16,1311.0×
clear spring health plan11$11,522$11,522$11,5221.0×
georgia workers’ compensation11$11,522$11,522$11,5221.0×
health choice11$628.21$628.21$628.211.0×
TRICARE11$11,522$11,522$11,5221.0×
americas choice provider network11$11,522$11,522$11,5221.0×
centurion11$17,284$17,284$17,2841.0×
care 1st11$598.29$598.29$598.291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Houston Medical CenterWarner RobinsGA16$20,745$2,797.97$9,219.82$12,908
Perry HospitalPerryGA16$20,745$2,042.19$9,219.82$12,908
St. Marys Sacred Heart HospitalLavoniaGA3$18,946$22,049$34,355
West Central Ga Regional HospitalColumbusGA22$23,701$17,586$598.29$1,257.90$22,990
Southern Regional Medical CenterRiverdaleGA26$51,292$11,522$1,145.80$11,522$24,027
Southwell MedicalAdelGA0$26,553$13,277

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.