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CPT 93005 · negotiated-rate distribution across hospitals in KY

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Hospitals
18
Min
$55.83
Median
$78.03
Max
$165
Range multiplier
3.0×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1467$5.4$88.87$371.5868.8×
Aetna1463$5.67$83.37$395.2569.7×
Humana1442$5.4$59.85$256.9647.6×
UnitedHealthcare1438$5.4$91.42$316.6358.6×
WellCare1435$5.4$54.84$106.2519.7×
umr1117$47.62$205.67$316.636.6×
caresoure kentucky1117$64.2$234.6$258.054.0×
Molina1215$15.28$64.3$115.667.6×
optum ccn region 21213$18.19$48.27$84.24.6×
optum ccn region 11213$18.19$48.27$84.24.6×
Cigna27$5.4$127.02$150.4327.9×
medcost16$63.95$104.1$195.353.1×
Multiplan25$64.6$169.67$262.84.1×
Blue Cross Blue Shield14$80.01$115.05$128.421.6×
commonwealth health alliance13$68.4$179.65$179.652.6×
First Health13$64.6$169.67$169.672.6×
center care13$57.27$150.43$150.432.6×
healthgram lexington home brands12$210.24$210.24$210.241.0×
CareSource12$5.4$39.72$74.0413.7×
oscar12$93.44$110.96$128.481.4×
national provider network12$262.8$262.8$262.81.0×
amerigroup12$5.4$30.12$54.8410.2×
private healthcare systems12$239.44$239.44$239.441.0×
beechstreet12$256.96$256.96$256.961.0×
va community care network12$5.4$30.12$54.8410.2×
amerihealth12$55.01$67.63$80.241.5×
directnet12$172.57$172.57$172.571.0×
healthgram12$233.6$233.6$233.61.0×
alliance11$56.12$56.12$56.121.0×
beacon health11$12.26$12.26$12.261.0×
carolina complete11$55.01$55.01$55.011.0×
christian county health dept-cchd11$12.26$12.26$12.261.0×
healthy blue11$55.01$55.01$55.011.0×
Ambetter11$83.8$83.8$83.81.0×
partners11$55.01$55.01$55.011.0×
the health plan11$34.34$34.34$34.341.0×
trillium11$56.68$56.68$56.681.0×
alliance coal11$82.26$82.26$82.261.0×
vaya11$55.57$55.57$55.571.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MORGAN CO. ARHWEST LIBERTYKY10$397$238.2$83.37$84.62$349.36
WHITESBURG ARHWHITESBURGKY10$394$236.4$26.75$81.75$366.42
OUR LADY OF THE WAYMARTINKY8$397$238.2$79.4$79.4$349.36
HAZARD ARHHAZARDKY10$391$234.6$24.01$79.18$351.9
MIDDLESBORO ARHMIDDLESBOROKY10$425$255$19.65$78.03$395.25
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY10$397$238.2$67.49$68.5$349.36
MCDOWELL ARHMCDOWELLKY10$397$238.2$18.19$67.49$349.36
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$391$234.6$31.03$63.77$270.96
TUG VALLEY ARHSOUTH WILLIAMSONKY11$411$246.6$16.37$62.88$369.9
HARLAN ARHHARLANKY10$391$234.6$54.55$62.56$363.63
MARY BRECKINRIDGE HOSPITALHYDENKY10$397$238.2$59.55$60.45$349.36
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$199.61$61.88$5.4$57.27$190.13
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$391$234.6$15.28$55.83$341.85
CONTINUECARE HOSPITAL AT BAPTIST HEAPADUCAHKY1$165$165$165$165$165
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$292$146$55.01$128.92$269.81
CCH AT BAPTIST HEALTH CORBINCORBINKY1$165$165$124$124$124
SPRING VIEW HOSPITALLEBANONKY0$666.33$266.53
CONTINUECARE HOSPITAL MADISONVILLEMADISONVILLEKY0$165$165

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.