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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in FL

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Hospitals
2
Min
$91.03
Median
$196.32
Max
$196.32
Range multiplier
2.2×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28$66.51$193.36$955.0014.4×
Blue Cross Blue Shield17$302.00$344.00$487.001.6×
Aetna25$71.17$91.03$1,169.0016.4×
Humana25$69.18$91.03$297.454.3×
Cigna23$71.17$196.32$334.004.7×
Medicare23$69.84$88.38$88.381.3×
aarp mcr hmo12$88.38$88.38$88.381.0×
Ambetter12$145.83$145.83$145.831.0×
blue mcr replacement12$88.38$88.38$88.381.0×
facility billing - op12$88.38$88.38$88.381.0×
healthspring mcr replacement12$89.26$89.71$90.151.0×
Medicaid12$178.47$237.96$297.451.7×
occunet12$163.50$181.18$198.851.2×
Oscar Health12$141.41$141.41$141.411.0×
smarthealth12$89.26$89.26$89.261.0×
triwest12$88.38$88.38$88.381.0×
WellCare12$88.38$88.38$88.381.0×
southcare op rate11$273.65$273.65$273.651.0×
First Health11$208.21$208.22$208.211.0×
freedom health mcr op rate11$69.84$69.84$69.841.0×
freedom pointe op rate11$66.51$66.51$66.511.0×
hcra op rate11$41.06$41.06$41.061.0×
sunshine state health plan op rate11$297.45$297.45$297.451.0×
bc health options op rate11$243.91$243.91$243.911.0×
hygeia op rate11$261.76$261.76$261.761.0×
wellpath op rate11$109.75$109.75$109.751.0×
bc blue select op rate11$208.21$208.22$208.211.0×
Multiplan11$246.88$246.88$246.881.0×
ultimate health plan op rate11$71.17$71.17$71.171.0×
unicare op rate11$237.96$237.96$237.961.0×
phcs op rate11$246.88$246.88$246.881.0×
preferred care partners op rate11$69.84$69.84$69.841.0×
prestige health choice op rate11$297.45$297.45$297.451.0×
select specialty hospital op rate11$69.84$69.84$69.841.0×
seven corners op rate11$133.03$133.03$133.031.0×
bc traditional op rate11$297.45$297.45$297.451.0×
beechstreet commercial op rate11$208.21$208.22$208.211.0×
bc ppo op rate11$297.45$297.45$297.451.0×
allwell op rate11$69.84$69.84$69.841.0×
care plus health plans op rate11$69.18$69.18$69.181.0×
bc network blue op rate11$237.96$237.96$237.961.0×
clear health alliance op rate11$297.45$297.45$297.451.0×
devoted health op rate11$69.84$69.84$69.841.0×
employers health network op rate11$237.83$237.83$237.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Emerald Coast Behavioral HospitalPanama CityFL16$1,023.00$409.20$88.38$91.03$1,169.00
The Villages Tri-County Medical CentThe VillagesFL33$178.47$41.06$196.32$593.96

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.