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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in AL

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Hospitals
26
Min
$80.50
Median
$125.92
Max
$187.97
Range multiplier
2.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna10102$1.16$227.50$4,523.043899.2×
Humana1178$1.09$91.35$4,240.353890.2×
Aetna1361$1.57$131.95$6,124.953901.2×
UnitedHealthcare1257$1.09$117.40$4,240.353890.2×
Blue Cross Blue Shield1054$2.42$122.55$492.00203.3×
viva535$1.21$143.00$4,711.503893.8×
Ambetter820$143.00$160.84$245.091.7×
Medicare614$76.88$91.79$122.551.6×
devoted513$2.42$79.19$126.2252.2×
WellCare612$84.57$88.38$134.801.6×
smarthealth36$123.73$123.73$128.511.0×
occunet25$163.50$198.85$715.314.4×
Molina35$94.54$163.50$165.001.7×
Bright Health34$114.74$146.14$208.001.8×
health spring14$26.00$38.50$82.003.2×
Oscar Health24$141.41$141.41$141.411.0×
university of utah14$31.80$36.60$39.901.3×
Medicare Advantage24$88.38$89.27$90.151.0×
bc advantage mcr replacement12$88.38$88.38$88.381.0×
actin care12$142.27$142.27$142.271.0×
employer direct healthcare12$154.66$154.66$154.661.0×
90 degree benefits12$159.08$159.08$159.081.0×
motivhealth12$298.00$298.00$298.001.0×
Multiplan22$67.00$125.40$183.802.7×
blue mcr replacement12$88.38$88.38$88.381.0×
facility billing - op12$88.38$88.38$88.381.0×
pace place12$88.38$88.38$88.381.0×
pehp12$175.00$217.50$260.001.5×
research study encore borland-groover12$88.38$88.38$88.381.0×
careplus mcr replacement12$90.15$90.15$90.151.0×
Self-Pay (Cash)12$91.79$91.79$91.791.0×
aarp12$87.20$87.20$87.201.0×
VA Health12$88.38$88.38$88.381.0×
healthspring mcr replacement12$89.26$89.71$90.151.0×
viva health22$82.00$112.01$142.021.7×
avmed exchange12$159.08$159.08$159.081.0×
meridian11$69.66$69.66$69.661.0×
angle insurance11$48.00$48.00$48.001.0×
behavioral hlth sys [100258]11$228.39$228.39$228.391.0×
blue advantage11$164.78$164.78$164.781.0×
claritev [100309]11$223.32$223.32$223.321.0×
clover health11$86.00$86.00$86.001.0×
community hospice11$88.38$88.38$88.381.0×
county care11$69.66$69.66$69.661.0×
devoted health11$85.00$85.00$85.001.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
elap11$21.18$21.18$21.181.0×
evernorth bh11$70.00$70.00$70.001.0×
First Health11$167.09$167.09$167.091.0×
harmony health plan11$69.66$69.66$69.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Vincents St. ClairPell CityAL18$65.74$91.79$881.00
Coosa Valley Medical CenterSylacaugaAL8$138.00$33.00$26.00$82.00$138.00
Cullman RegionalCullmanAL4$272.36$177.00$80.50$80.50$80.50
The Childrens Hospital Of AlabamaBirminghamAL18$253.77$109.12$76.12$187.97$253.77
Washington County HospitalChatomAL4$205.98$54.17$117.40$159.63$185.38
Mountain View HospitalGadsdenAL21$595.83$595.83$21.18$158.00$3,615.00
Marshall Medical Centers SouthBoazAL7$203.00$203.00$72.67$143.00$203.00
St. Vincents EastBirminghamAL23$572.25$211.73$28.33$136.99$2,291.00
Athens LimestoneAthensAL10$9,423.00$9,423.00$1.09$125.92$6,124.95
Helen Keller HospitalSheffieldAL10$9,423.00$9,423.00$1.09$125.92$6,124.95
Decatur Morgan - Decatur CampusDecaturAL10$9,423.00$9,423.00$1.09$125.92$6,124.95
Huntsville HospitalHuntsvilleAL10$9,423.00$9,423.00$1.09$125.92$6,124.95
Providence HospitalMobileAL14$612.00$244.80$88.38$123.73$968.00
Crestwood Medical CenterHuntsvilleAL0$1,295.64$272.08
Gadsden Regional Medical CenterGadsdenAL0$2,163.11$389.36
Flowers HospitalDothanAL0$511.92$153.58
Grandview Medical CenterBirminghamAL0$912.00$218.88
Southeast Health Medical CenterDothanAL0$255.58$102.23
Springhill Memorial HospitalMobileAL0$260.80$221.68
Red Bay HospitalRed BayAL0$843.00$472.08
Tanner Medical Center Alabama Inc.WedoweeAL0$156.00$62.40
Noland Hospital Montgomery IiMontgomeryAL0$223.19
Noland Hospital Birmingham IiBirminghamAL0$522.05
Noland Hospital Dothan IiDothanAL0$435.10
Noland Hospital Anniston IiAnnistonAL0$223.19
Noland Hospital Tuscaloosa IiTuscaloosaAL0$129.58

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.