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CPT 93005 · negotiated-rate distribution across hospitals in MO

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Hospitals
19
Min
$123.20
Median
$247.15
Max
$326.00
Range multiplier
2.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1059$55.08$216.00$397.507.2×
Blue Cross Blue Shield958$56.73$168.45$461.108.1×
UnitedHealthcare1042$55.08$227.36$806.0014.6×
Cigna1040$60.90$212.52$433.607.1×
cox health systems insurance company [220]731$168.30$198.90$344.502.0×
Humana1023$55.08$203.49$311.825.7×
healthlink [225]721$148.41$231.03$400.152.7×
allied benefits [498]721$177.48$219.24$393.792.2×
Anthem BCBS218$182.47$286.86$311.821.7×
First Health915$79.46$227.36$393.795.0×
med-pay [480]714$198.90$229.50$397.502.0×
phcs [244]714$229.50$244.80$424.001.8×
consociate [478]714$204.88$230.00$230.001.1×
healthscope benefits [258]714$198.90$206.86$302.401.5×
unicare [568]714$198.90$231.03$400.152.0×
Multiplan910$148.71$256.50$397.502.7×
Meritain Health210$79.46$231.07$455.285.7×
sarah bush lincoln [636]78$204.88$230.00$260.001.3×
priority health [648]77$205.25$210.22$327.001.6×
nalc health benefit plan [242]77$205.25$210.22$327.001.6×
health alliance [224]77$168.30$168.30$291.501.7×
medica [662]77$60.90$62.04$72.031.2×
detego health [868]77$229.50$229.50$397.501.7×
medica [661]77$244.80$244.80$424.001.7×
apwu health plan [216]77$205.25$210.22$327.001.6×
cox health [757]77$60.90$62.04$70.691.2×
hope trust [806]77$177.48$177.48$307.401.7×
mail handlers [495]77$184.52$184.52$298.621.6×
coresource [497]77$184.52$184.52$298.621.6×
preferred health professionals [561]77$231.03$231.03$400.151.7×
healthcare sol mercy [609]77$229.50$229.50$397.501.7×
hfn [563]77$244.80$244.80$424.001.7×
health systems inc [620]77$229.50$229.50$397.501.7×
fmh benefit service inc [222]77$184.52$184.52$298.621.6×
essence healthcare [221]77$58.06$60.90$67.321.2×
beechstreet [551]77$229.50$229.50$397.501.7×
php [503200005]16$92.40$219.51$400.544.3×
Medicaid26$182.47$299.34$311.821.7×
devoted health plan [847]66$60.90$64.25$73.901.2×
Ambetter35$93.63$286.86$311.823.3×
WellCare24$182.47$299.34$311.821.7×
Workers Comp14$55.08$330.60$806.0014.6×
healthlink [503200007]14$93.29$221.08$400.544.3×
healthlink hmo24$182.47$299.34$311.821.7×
healthlink ppo24$182.47$299.34$311.821.7×
hchsync centrus health direct [503999916]14$46.20$108.25$189.704.1×
essence24$182.47$299.34$311.821.7×
Empire BCBS24$118.20$299.34$415.993.5×
medica24$182.47$299.34$311.821.7×
alt wppa [5032000964]13$93.29$110.15$328.343.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Progress West HospitalOfallonMO36$530.00$318.00$59.09$326.00$530.00
Barnes Jewish St. Peters HospitalSt. PetersMO36$530.00$318.00$59.09$325.00$530.00
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$311.82$311.82$172.12$286.86$311.82
St. Louis Childrens HospitalSt. LouisMO34$378.00$226.80$58.06$264.60$321.30
Mercy Hospital - St. LouisSt. LouisMO19$311.82$311.82$182.47$247.15$311.82
Parkland Health Center - FarmingtonFarmingtonMO35$306.00$183.60$62.42$205.18$266.22
Missouri Baptist Sullivan HospitalSullivanMO35$306.00$183.60$67.32$203.49$266.22
Missouri Baptist Hospital SullivanSullivanMO35$306.00$183.60$67.32$203.49$266.22
Parkland Hlth Ctr - Bonne TerreBonne TerreMO36$306.00$183.60$60.90$201.20$268.06
North Kansas City HospitalNorth Kansas CityMO61$542.00$108.40$45.43$123.20$806.00
Moberly Regional Medical CenterMoberlyMO0$1,432.34$687.52
Harrison County Community HospitalBethanyMO0$430.00$215.00
Cox Medical Center BransonBransonMO0$397.36$90.20
Barton County Memorial HospitalLamarMO0$397.36$126.76
Cox-Monett HospitalMonettMO0$397.36$121.19
Missouri Delta Medical CenterSikestonMO0$460.25$115.06
CoxhealthSpringfieldMO0$397.36$100.13
Northeast Regional Medical CenterKirksvilleMO0$282.27$155.25
Ranken JordanMaryland HeightsMO0$220.00$176.00

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.