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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$49.35
Median
$99.02
Max
$620
Range multiplier
12.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield844$35.36$300$75321.3×
UnitedHealthcare829$1$84.16$968968.0×
Aetna829$42.3$134.21$71016.8×
Cigna822$1$144.12$820820.0×
Humana816$9.85$81.22$85086.3×
WellCare713$47$88.38$152.163.2×
Medicaid110$1$55.23$274.26274.3×
CareSource510$13.49$77.33$186.2113.8×
First Health39$44.65$495.9$1,16026.0×
Health Net16$9.85$70.43$506.3451.4×
Ambetter34$93.31$119.57$145.831.6×
banner health13$9.85$47$93.859.5×
devoted health23$49.82$86.68$99.492.0×
Oscar Health23$109.41$141.41$141.411.3×
peach state13$12.84$86.68$100.997.9×
secure health op rate22$658$658$6581.0×
alliant health plan22$140.07$140.07$140.071.0×
alliant op rate22$721$721$7211.0×
amerigroup community care22$52.5$55.62$58.741.1×
amerigroup op rate22$50$52.97$55.941.1×
arizona medical network12$47$70.43$93.852.0×
beech street op rate22$765$765$7651.0×
blue mcr replacement12$88.38$88.38$88.381.0×
bridgeway health solutions12$47$70.43$93.852.0×
dodge cty op rate22$204$204$2041.0×
facility billing - op12$88.38$88.38$88.381.0×
health choice pathway12$47$70.43$93.852.0×
health management network12$47$70.43$93.852.0×
healthspring mcr replacement12$89.26$89.71$90.151.0×
imperial insurance12$49.35$73.95$98.552.0×
Medicare Advantage12$88.38$88.38$88.381.0×
occunet12$163.5$181.18$198.851.2×
phcs op rate22$782$782$7821.0×
riverwood behavioral health12$84.16$94.68$105.21.3×
rural arizona network12$47$70.43$93.852.0×
smarthealth12$123.73$123.73$123.731.0×
sonder health plan12$88.37$88.37$88.371.0×
united mine workers of america12$47$70.43$93.852.0×
mercy care11$10.35$10.35$10.351.0×
Multiplan11$84.16$84.16$84.161.0×
naphcare11$130.45$130.45$130.451.0×
novanet11$84.16$84.16$84.161.0×
americas choice provider network11$84.16$84.16$84.161.0×
centurion11$126.24$126.24$126.241.0×
care 1st11$9.85$9.85$9.851.0×
peach state health plan op rate11$55.95$55.95$55.951.0×
peach state hp op rate11$55.95$55.95$55.951.0×
arizona complete health11$9.85$9.85$9.851.0×
georgia workers’ compensation11$84.16$84.16$84.161.0×
health choice11$10.35$10.35$10.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$200.1$100.05$44.02$99.02$170.09
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA27$468.99$84$12.84$88.37$468.99
UNION GENERAL HOSPITALBLAIRSVILLEGA9$200.1$100.05$55.94$84.85$170.09
DODGE COUNTY HOSPITALEASTMANGA6$514.07$1$75.48$462.66
PERRY HOSPITALPERRYGA16$149.96$50$620$1,160
HOUSTON MEDICAL CENTERWARNER ROBINSGA16$149.96$55.94$620$1,160
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA22$522$387.33$9.85$49.35$506.34
ST. MARYS SACRED HEART HOSPITALLAVONIAGA14$612$244.8$88.38$123.73$968
SOUTHWELL MEDICALADELGA0$251.1$125.55

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.