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CPT 93005 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$188.27
Median
$272.57
Max
$6,140.00
Range multiplier
32.6×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$56.85$103.75$193.763.4×
UnitedHealthcare536$78.68$275.38$6,140.0078.0×
Blue Cross Blue Shield527$80.65$250.09$6,140.0076.1×
govt employees health assn [3081090]424$185.46$275.38$275.381.5×
medica (commercial) 94265 [3081118]424$233.23$275.38$275.381.2×
Cigna424$269.76$278.19$278.191.0×
healthpartners [3081368]421$63.00$275.38$275.384.4×
risk admin svs [3081167]416$25.75$125.28$224.808.7×
Meritain Health416$269.76$278.19$278.191.0×
national telephone cooperative assn 52103 [3081149]416$185.46$275.38$275.381.5×
Aetna412$252.90$259.93$266.951.1×
Humana510$6.32$281.00$6,140.00971.5×
tlc advantage llc [3081189]59$244.47$264.14$275.421.1×
midlands choice 47080 [3081136]48$269.76$278.19$278.191.0×
allied benefit systems inc [3081320]48$269.76$278.19$278.191.0×
avera health plans 46045 [3081018]48$206.54$272.57$272.571.3×
coresource 38225 [3081146]48$182.65$252.90$252.901.4×
employee benefit management 12x44 [3081079]48$238.85$252.90$252.901.1×
fedmed inc [3081283]48$266.95$272.57$272.571.0×
health partners sx009 [3081102]48$174.22$275.38$275.381.6×
key benefit administrators [3081332]48$269.76$278.19$278.191.0×
pacificsource health plans [3081333]48$238.85$252.90$252.901.1×
preferred one 41147 [3081160]48$269.76$278.19$278.191.0×
rocky mountain admin llc 83028 [3081168]48$224.80$252.90$252.901.1×
sanford health plan 91184 [3081174]48$252.90$272.57$272.571.1×
surest [3081369]48$185.46$275.38$275.381.5×
va ccn optum [3081339]44$6.02$78.68$103.9717.3×
Medicare44$78.68$91.33$6,140.0078.0×
Multiplan24$252.90$262.74$272.571.1×
group and pension administrators inc [3081098]24$252.90$262.74$272.571.1×
va black hills health care system 12115 [3081206]44$6.02$78.68$103.9717.3×
va black hills health care system 12115 [3081207]33$78.68$78.68$103.971.3×
VA Health33$78.68$78.68$103.971.3×
Health Net33$78.68$78.68$103.971.3×
triwest healthcare alliance [3081322]33$78.68$78.68$103.971.3×
minnesota health care programs 12k16 [3081295]12$85.14$85.14$85.141.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD5$293.00$293.00$87.00$6,140.00$6,140.00
Monument Health Custer HospitalCusterSD35$281.00$281.00$25.75$275.38$281.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$281.00$281.00$25.75$272.57$281.00
Monument Health Sturgis RegionalSturgisSD33$281.00$281.00$25.75$272.57$281.00
Monument Health Rapid City HospitalRapid CitySD31$281.00$281.00$6.02$188.27$269.76

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.