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CPT 93005 · negotiated-rate distribution across hospitals in OH

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Hospitals
29
Min
$57.93
Median
$187.50
Max
$247.50
Range multiplier
4.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$55.07$171.75$347.006.3×
UnitedHealthcare20109$32.49$123.62$319.249.8×
Aetna20104$6.00$183.61$317.2552.9×
Anthem BCBS1895$9.91$195.68$347.0035.0×
Cigna1988$52.89$210.00$284.205.4×
ohio health choice1868$132.30$254.15$351.902.7×
Medicare249$45.00$53.04$137.033.0×
First Health1947$43.67$311.25$332.357.6×
healthsmart1744$36.39$243.75$261.527.2×
the health plan1839$52.89$188.32$273.705.2×
summacare1636$52.89$160.65$285.435.4×
Multiplan1734$192.60$337.50$351.901.8×
ohio preferred network1634$141.75$312.30$351.902.5×
immergrun1530$107.00$187.50$234.602.2×
amish aid community plan1530$98.44$172.50$195.502.0×
amish church fund and workers aid plan1530$98.44$172.50$195.502.0×
beech street1530$171.20$312.80$351.902.1×
buckeye plain ministries1530$98.44$172.50$195.502.0×
private healthcare system1530$184.04$322.50$336.261.8×
century health network1530$181.90$318.75$332.351.8×
christian healthcare ministries1530$107.00$187.50$195.501.8×
clarity1530$166.56$180.00$273.701.6×
configurenet1530$192.60$337.50$351.901.8×
fortified provider network1530$192.60$337.50$351.901.8×
Humana2029$27.99$55.07$292.2910.4×
transplants-case rates [5750]128$35.00$53.04$239.136.8×
aultcare1625$21.84$190.85$258.0611.8×
medical mutual traditional/health ohio1122$149.80$262.50$273.701.8×
Molina1822$52.89$55.07$138.762.6×
CareSource1619$65.55$99.12$211.143.2×
Medicaid219$15.17$32.49$290.0019.1×
jp farley1416$163.09$180.00$234.601.4×
Ambetter1516$95.21$99.12$218.962.3×
sunrise plan communities816$173.50$187.50$187.501.1×
paramount1515$54.48$56.72$110.802.0×
primetime health plan1515$52.89$55.07$107.572.0×
WellCare1515$52.89$55.07$107.572.0×
valor health plans1515$55.54$57.82$112.952.0×
perennial advantage of ohio1515$55.54$57.82$112.952.0×
sunrise plain communities714$107.00$195.50$195.501.8×
devoted health1414$52.89$55.07$69.401.3×
university health employee plan (contigo)1314$85.60$150.00$195.502.3×
Blue Cross Blue Shield210$34.87$164.48$164.484.7×
medical mutual110$64.26$134.19$202.943.2×
enterprise group planning48$218.96$218.96$273.701.3×
health ohio network48$226.78$226.78$261.971.2×
commercial-contracted [8000]18$48.00$107.10$217.504.5×
ohio ppo connect24$215.37$215.37$215.371.0×
integrated health plan12$292.29$292.29$292.291.0×
medical mutual of ohio supermed12$231.86$231.86$231.861.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes HospitalMaumeeOH12$176.60$88.30$32.49$57.93$144.21
Rainbow Babies & Childrens HospitalClevelandOH40$391.00$293.25$55.07$247.50$351.90
Uh Geneva Medical CenterGenevaOH37$347.00$260.25$69.40$225.55$347.00
Uh Conneaut Medical CenterConneautOH38$347.00$260.25$107.57$225.55$347.00
Uh Cleveland Medical CenterClevelandOH40$391.00$293.25$55.07$218.96$351.90
University Hospitals Avon Rehab HospAvonOH40$391.00$293.25$55.07$218.96$351.90
University Hospitals Rehab HospitalBeachwoodOH40$391.00$293.25$55.07$218.96$351.90
Adena Regional Medical CenterChillicotheOH21$307.67$153.84$56.60$209.13$292.29
Fayette County Memorial HospWashington Court HouseOH18$307.67$153.84$104.61$203.99$347.67
Uh Ahuja Medical CenterBeachwoodOH38$375.00$281.25$55.07$191.25$337.50
Uh Portage Medical CenterRavennaOH37$375.00$281.25$55.07$187.50$337.50
Uh Parma Medical CenterParmaOH37$375.00$281.25$55.07$187.50$337.50
Uh Elyria Medical CenterElyriaOH38$375.00$281.25$55.07$187.50$337.50
Uh St. John Medical CenterWestlakeOH38$375.00$281.25$55.07$187.50$337.50
Uh Regional HospitalsRichmond HeightsOH37$375.00$281.25$55.07$187.50$337.50
Uh Geauga Medical CenterChardonOH37$375.00$281.25$55.07$187.50$337.50
Lake Hospital SystemConcordOH36$375.00$281.25$55.07$180.00$337.50
Uh Samaritan Medical CenterAshlandOH38$214.00$160.50$52.89$179.76$212.07
Twin City HospitalDennisonOH16$278.00$137.89$6.00$114.69$252.98
Adams County Regional Medical CenterSeamanOH10$10,929$6,557.43$15.17$100.00$290.00
Henry County Hospital (Cah)NapoleonOH0$170.00$127.50
Harrison Community HospitalCadizOH0$430.00$215.00
Barnesville HospitalBarnesvilleOH0$543.00$271.50
Bethesda HospitalCincinnatiOH0$222.64$166.98
Good Samaritan HospitalCincinnatiOH0$222.64$166.98
Summa Rehab HospitalAkronOH0$91.96
Mccullough-Hyde Memorial HospitalOxfordOH0$202.40$151.80
Wayne Hospital CompanyGreenvilleOH0$351.00$263.25
Wilson Memorial HospitalSidneyOH0$266.70$133.35

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.