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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in MO

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Hospitals
10
Min
$75.00
Median
$7,987.68
Max
$20,264
Range multiplier
270.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield649$55.00$11,563$39,459717.4×
Aetna633$45.60$75.00$58,3441279.5×
Cigna628$49.20$8,827.80$33,041671.6×
UnitedHealthcare621$63.70$11,533$30,508478.9×
allied benefits [498]520$58.00$74.30$58,3441005.9×
cox health systems insurance company [220]519$55.00$65.00$13,272241.3×
consociate [478]518$7,987.68$13,078$25,3743.2×
Humana617$66.50$10,778$17,977270.3×
healthscope benefits [258]515$63.70$10,960$30,508478.9×
healthlink [225]515$48.50$65.00$75.501.6×
phcs [244]514$75.00$80.00$19,304257.4×
med-pay [480]514$65.00$75.00$18,098278.4×
sarah bush lincoln [636]511$6,656.40$13,078$25,3743.8×
hope trust [806]510$58.00$4,318.68$13,995241.3×
unicare [568]510$65.00$70.25$75.501.2×
healthcare sol mercy [609]59$75.00$75.00$18,098241.3×
medica [661]59$80.00$80.00$19,304241.3×
health alliance [224]59$55.00$70.00$16,891307.1×
First Health66$74.30$74.30$22,044296.7×
apwu health plan [216]56$54.30$5,826.86$19,116352.0×
Multiplan66$75.00$75.00$29,101388.0×
nalc health benefit plan [242]56$54.30$5,826.86$19,116352.0×
priority health [648]56$54.30$5,826.86$19,116352.0×
fmh benefit service inc [222]55$60.30$31,216$58,344967.6×
hfn [563]55$80.00$80.00$85.001.1×
coresource [497]55$60.30$31,216$58,344967.6×
mail handlers [495]55$60.30$31,216$58,344967.6×
cox health [757]55$11,626$12,141$13,0031.1×
medica [662]55$11,626$12,141$13,0031.1×
detego health [868]55$75.00$75.00$75.001.0×
essence healthcare [221]55$11,362$11,563$12,3841.1×
preferred health professionals [561]55$75.50$75.50$75.501.0×
beechstreet [551]55$75.00$75.00$75.001.0×
health systems inc [620]55$75.00$75.00$75.001.0×
devoted health plan [847]44$11,626$12,141$13,0031.1×
Medicare23$10,778$10,994$11,6261.1×
php [503200005]13$20,070$20,264$24,7201.2×
centivo [5032000982]12$20,478$20,478$20,4781.0×
mh magellan health services [270]22$100.00$100.00$100.001.0×
Workers Comp12$10,778$21,278$31,7782.9×
6 degrees health [503999050]12$21,017$23,981$26,9451.3×
healthlink [503200007]12$20,264$22,492$24,7201.2×
mercy behavioral health [573]22$25.00$25.00$25.001.0×
alt wppa [5032000964]12$20,264$20,910$21,5561.1×
wellfit [503301514]11$20,478$20,478$20,4781.0×
wppa [503200056]11$28,098$28,098$28,0981.0×
accarent health [503999034]11$16,725$16,725$16,7251.0×
advanced medical pricing solutions [503301513]11$32,334$32,334$32,3341.0×
aha-healthcare preferred [503200050]11$22,044$22,044$22,0441.0×
allied national [503999937]11$20,070$20,070$20,0701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Louis Childrens HospitalSt. LouisMO34$75,179$45,107$48.50$85.00$58,344
Parkland Health Center - FarmingtonFarmingtonMO36$68,896$41,337$25.00$80.00$21,031
Barnes Jewish St. Peters HospitalSt. PetersMO36$44,182$26,509$48.50$7,987.68$31,216
Progress West HospitalOfallonMO36$28,308$16,985$48.50$7,987.68$31,216
Parkland Hlth Ctr - Bonne TerreBonne TerreMO37$70,518$42,311$25.00$75.00$20,564
North Kansas City HospitalNorth Kansas CityMO59$33,450$6,690.00$9,867.75$20,264$32,334
CoxhealthSpringfieldMO0$25,630$6,458.72
Cox Medical Center BransonBransonMO0$25,630$5,817.97
Northeast Regional Medical CenterKirksvilleMO0$41,260$22,693
Moberly Regional Medical CenterMoberlyMO0$81,101$38,929

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.