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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in TN

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Hospitals
12
Min
$184.51
Median
$184.51
Max
$296.00
Range multiplier
1.6×

By payer (18 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna1127$135.00$184.51$195.881.5×
Blue Cross Blue Shield1020$123.30$209.61$4,066.0033.0×
Cigna315$2,233.00$3,896.00$3,896.001.7×
UnitedHealthcare312$3,005.00$3,903.50$4,949.001.6×
correctional medical services36$165.00$193.50$222.001.3×
direct care america36$220.00$258.00$296.001.3×
galaxy health network36$247.50$290.25$333.001.3×
initial group36$242.00$283.80$325.601.3×
medsave usa36$220.00$258.00$296.001.3×
national provider network36$220.00$258.00$296.001.3×
novanet36$206.25$241.88$277.501.3×
ehn36$123.75$145.13$166.501.3×
beech street36$233.75$274.13$314.501.3×
ccn managed care36$233.75$274.13$314.501.3×
community services network36$178.75$209.63$240.501.3×
usa managed care organization36$192.50$225.75$259.001.3×
wellpoint33$2,250.00$2,250.00$2,250.001.0×
Ambetter33$2,500.00$2,500.00$2,500.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fort Loudoun Medical CenterLenoir CityTN18$370.00$118.40$123.75$296.00$4,949.00
Roane County Medical CenterHarrimanTN18$370.00$114.70$123.75$296.00$4,949.00
Morristown-Hamblen HospitalMorristownTN18$370.00$114.70$123.75$296.00$4,949.00
Saint Thomas Midtown HospitalNashvilleTN2$123.30$184.51$184.51
St Thomas Dekalb HospitalSmithvilleTN2$123.30$184.51$195.88
Ascension St Thomas River ParkMcminnvilleTN2$184.22$184.51$234.27
Saint Thomas Highland HospitalSpartaTN2$123.30$184.51$195.88
Saint Thomas Stones River HospitalWoodburyTN2$123.30$184.51$195.88
St Thomas Hickman HospitalCentervilleTN1$184.51$184.51$195.88
Saint Thomas Rutherford HospitalMurfreesboroTN2$123.30$184.51$195.88
Saint Thomas West HospitalNashvilleTN2$123.30$184.51$195.88
Big South Fork Medical CenterOneidaTN0$620.00$185.98

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.