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PCI with drug-eluting stent

CPT 92928 · negotiated-rate distribution across hospitals in TN

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Hospitals
14
Min
$513.07
Median
$12,902
Max
$14,281
Range multiplier
27.8×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare13123$50.00$10,580$21,679433.6×
Cigna1380$513.07$14,820$21,67942.3×
Blue Cross Blue Shield1369$489.99$8,561.00$14,25029.1×
Aetna1236$513.07$14,312$14,89429.0×
Humana814$513.07$10,666$14,19427.7×
wellpoint39$8,144.70$10,873$10,8731.3×
farm bureau47$523.33$9,589.03$9,589.0318.3×
Medicaid16$320.00$8,150.87$9,731.0030.4×
devoted health36$10,873$10,873$10,8731.0×
Medicare24$513.07$10,385$10,38520.2×
Ambetter44$718.30$1,941.00$1,941.002.7×
community plan44$4,813.93$4,813.93$4,813.931.0×
TRICARE44$9,840.95$10,355$10,3551.1×
WellCare44$513.07$10,873$10,87321.2×
community services network33$65.00$65.00$65.001.0×
correctional medical services33$60.00$60.00$60.001.0×
direct care america33$80.00$80.00$80.001.0×
ehn33$45.00$45.00$45.001.0×
galaxy health network33$90.00$90.00$90.001.0×
initial group33$88.00$88.00$88.001.0×
beech street33$85.00$85.00$85.001.0×
medsave usa33$80.00$80.00$80.001.0×
national provider network33$80.00$80.00$80.001.0×
novanet33$75.00$75.00$75.001.0×
optum33$10,355$10,355$10,3551.0×
usa managed care organization33$70.00$70.00$70.001.0×
ccn managed care33$85.00$85.00$85.001.0×
Molina12$8,150.87$9,169.73$10,1891.3×
Medicare Advantage11$10,385$10,385$10,3851.0×
amerigroup11$448.94$448.94$448.941.0×
naphcare11$769.61$769.61$769.611.0×
upmc11$513.07$513.07$513.071.0×
corizon11$335.55$335.55$335.551.0×
va hospital [600005]11$10,385$10,385$10,3851.0×
carecentrix [450200]11$10,385$10,385$10,3851.0×
devoted health [450111]11$10,696$10,696$10,6961.0×
corecivic11$564.38$564.38$564.381.0×
provider network of america11$872.22$872.22$872.221.0×
bluecare11$489.99$489.99$489.991.0×
tenncare11$489.99$489.99$489.991.0×
generic hospice vbid [10940000101]11$10,385$10,385$10,3851.0×
blue11$513.07$513.07$513.071.0×
transplant optum tenncare [350013]11$1,799.00$1,799.00$1,799.001.0×
amerivantage11$448.94$448.94$448.941.0×
american health advantage mcr adv [450117]11$10,385$10,385$10,3851.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Morristown-Hamblen HospitalMorristownTN24$8,652.00$2,682.12$45.00$9,972.17$11,074
Roane County Medical CenterHarrimanTN24$8,652.00$2,682.12$45.00$9,972.17$11,074
Fort Loudoun Medical CenterLenoir CityTN24$8,652.00$2,768.64$45.00$9,972.17$11,074
Methodist H/C Memphis Hospt.MemphisTN15$33,359$7,338.98$50.00$9,840.95$21,679
Metro Nashville General HospitalNashvilleTN19$24,342$14,605$282.19$513.07$13,388
St Thomas Hickman HospitalCentervilleTN4$5,646.00$14,281$16,976
Saint Thomas Midtown HospitalNashvilleTN5$489.99$14,250$18,779
Saint Thomas Rutherford HospitalMurfreesboroTN5$44,132$13,240$489.99$14,250$18,117
Saint Thomas West HospitalNashvilleTN5$44,132$13,240$489.99$14,250$18,117
Saint Thomas Stones River HospitalWoodburyTN5$489.99$13,569$16,976
Ascension St Thomas River ParkMcminnvilleTN5$732.09$12,902$16,976
Saint Thomas Highland HospitalSpartaTN5$489.99$12,902$16,976
St Thomas Dekalb HospitalSmithvilleTN5$489.99$12,902$16,976
St Thomas AscensionNashvilleTN0$31,116$7,685.70

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.