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CPT 99281 · negotiated-rate distribution across hospitals in IA

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Hospitals
27
Min
$41.55
Median
$48.56
Max
$338.40
Range multiplier
8.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare19147$10.82$85.24$2,180.00201.5×
Aetna15124$10.30$52.80$388.2237.7×
Blue Cross Blue Shield18110$10.30$18.70$671.8965.2×
Cigna1579$21.90$43.89$2,200.00100.5×
medica341$15.25$89.60$313.0020.5×
health partners open network1439$15.18$35.89$160.7910.6×
Humana1733$10.30$22.55$110.0810.7×
medica exchange inspire1430$14.41$52.85$146.4610.2×
medica exchange insure1428$16.17$57.40$164.0510.1×
amerivantage1123$10.30$22.52$92.459.0×
Molina1121$10.51$82.81$403.0038.3×
one world318$58.56$229.00$245.764.2×
greater omaha packing318$58.56$229.00$245.764.2×
millard public schools318$58.56$229.00$245.764.2×
midlands choice318$58.56$217.26$272.254.6×
amerigroup412$11.72$48.63$115.599.9×
Multiplan310$59.78$250.88$308.555.2×
quiktrip310$58.56$217.80$245.764.2×
Anthem BCBS110$106.25$340.00$561.005.3×
phcs310$59.78$250.88$272.254.6×
healthpartners110$93.75$300.00$434.004.6×
Centene39$11.72$54.45$112.299.6×
timpte39$58.56$245.00$245.764.2×
health eos plus18$75.00$225.00$282.003.8×
bc illinois community28$12.51$1,543.60$3,527.66282.0×
health eos18$100.00$300.00$376.003.8×
pace35$15.25$85.81$110.087.2×
amps35$33.86$190.50$244.387.2×
dean health plan15$44.00$46.92$128.162.9×
great plains35$16.02$90.10$115.597.2×
iamolina35$11.95$27.28$114.499.6×
health alliance24$10.30$46.56$82.818.0×
meridian health plan24$10.82$48.03$85.247.9×
Ambetter24$10.30$70.10$129.8912.6×
wisconsin physician service13$429.00$452.00$452.001.1×
iowa health13$10.82$22.52$65.606.1×
common ground13$368.00$368.00$368.001.0×
medical associates health plan13$18.03$31.90$92.925.2×
iowa total care12$24.20$47.35$70.492.9×
Medicare12$23.78$66.61$109.434.6×
meridian12$10.82$54.30$97.789.0×
quartz health12$44.00$86.08$128.162.9×
total care12$26.76$69.53$112.294.2×
payer negotiated charge: iowa total care11$94.71$94.71$94.711.0×
everpointe elite11$382.00$382.00$382.001.0×
quartz group11$410.00$410.00$410.001.0×
health payment systems11$450.00$450.00$450.001.0×
quartz one11$350.00$350.00$350.001.0×
centivo11$383.00$383.00$383.001.0×
aurora caregiver11$350.00$350.00$350.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health Mercy CorningCorningIA18$256.00$122.88$15.25$84.93$250.88
Chi Health - Missouri ValleyMissouri ValleyIA19$256.00$125.44$15.25$74.69$250.88
Grinnell Regional Medical CenterGrinnellIA10$249.06$199.25$10.30$50.36$239.10
Community Mem. Hospt. SummerSumnerIA10$249.06$199.25$10.30$50.36$239.10
St. Lukes Regl Medical CenterSioux CityIA10$249.06$199.25$10.30$50.36$239.10
Jones Regional Medical CtrAnamosaIA12$182.41$145.93$10.30$49.06$160.20
Trinity Regional Medical CenterFort DodgeIA8$160.20$128.16$10.30$48.56$231.08
Allen Memorial HospitalWaterlooIA10$196.15$156.92$10.30$46.37$239.96
Grundy County Mem. HospitalGrundy CenterIA10$196.15$156.92$10.30$46.37$239.96
St. Lukes Methodist HospitalCedar RapidsIA10$264.05$211.24$10.30$45.96$219.23
Iowa Lutheran HospitalDes MoinesIA10$439.82$351.86$10.30$45.96$214.29
Trinity BettendorfBettendorfIA11$212.94$170.36$10.30$45.96$226.14
The Finley HospitalDubuqueIA15$160.20$128.16$10.30$45.46$3,527.66
Unitypoint Health-MarshalltownMarshalltownIA10$196.15$156.92$10.30$43.67$156.53
Trinity MuscatineMuscatineIA12$212.94$170.36$10.30$41.55$3,527.66
Iowa Methodist Medical CenterDes MoinesIA10$439.82$351.86$10.30$41.55$226.14
Washington County HospitalWashingtonIA18$470.00$235.00$75.00$338.40$2,200.00
Chi Health Mercy Council BluffsCouncil BluffsIA21$363.00$152.46$11.72$190.50$847.00
Mitchell County Regional Health CentOsageIA4$187.50$168.75$23.78$109.43$671.89
Peoples Memorial HospitalIndependenceIA0$438.03$372.32
Stewart Memorial HospitalLake CityIA0$228.00$182.00
Spencer Municipal HospitalSpencerIA0$305.29$228.97
Loring HospitalSac CityIA0$229.00$183.20
Mercy Hospital Iowa CityIowa CityIA0$378.00$181.44
Greene County Medical CenterJeffersonIA0$190.00$106.40
Regional Health Services Of Howard CCrescoIA0$295.00
Story County HospitalNevadaIA0$253.00$202.40

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.