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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in KY

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Hospitals
8
Min
$152.94
Median
$152.94
Max
$160.91
Range multiplier
1.1×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna817$119.25$152.94$244.922.1×
WellCare817$119.25$152.94$265.512.2×
UnitedHealthcare710$119.25$152.94$244.922.1×
optum ccn region 277$152.94$152.94$152.941.0×
optum ccn region 177$152.94$152.94$152.941.0×
caresoure kentucky66$152.94$252.35$252.351.6×
Humana15$148.04$160.91$309.562.1×
Anthem BCBS14$119.25$140.08$160.911.3×
Cigna13$160.91$160.91$244.921.5×
amerigroup12$160.91$160.91$160.911.0×
CareSource12$160.91$189.07$217.231.4×
the health plan12$130.48$141.71$152.941.2×
va community care network12$160.91$160.91$160.911.0×
alliance coal12$193.09$217.23$241.371.3×
christian county health dept-cchd11$119.25$119.25$119.251.0×
center care11$244.92$244.92$244.921.0×
beacon health11$119.25$119.25$119.251.0×
First Health11$276.25$276.25$276.251.0×
commonwealth health alliance11$292.50$292.50$292.501.0×
Multiplan11$276.25$276.25$276.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jennie Stuart Medical CenterHopkinsvilleKY16$325.00$100.75$119.25$160.91$309.56
Highlands Regional Medical CenterPrestonsburgKY6$321.00$192.60$119.25$152.94$252.35
Middlesboro ArhMiddlesboroKY6$321.00$192.60$152.94$152.94$252.35
Hazard ArhHazardKY6$321.00$192.60$119.25$152.94$252.35
Tug Valley ArhSouth WilliamsonKY7$321.00$192.60$119.25$152.94$252.35
Paintsville Arh HospitalPaintsvilleKY5$321.00$192.60$119.25$152.94$200.40
Whitesburg ArhWhitesburgKY6$321.00$192.60$119.25$152.94$200.40
Mcdowell ArhMcdowellKY5$321.00$192.60$119.25$152.94$252.35

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.