▸ Compare · PriceTransparency
ED visit level 1
CPT 99281 · negotiated-rate distribution across hospitals in KY
Hospitals
15
Min
$17.69
Median
$55.43
Max
$174.84
Range multiplier
9.9×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 13 | 58 | $10.67 | $81.08 | $206.33 | 19.3× |
| Aetna | 14 | 53 | $11.2 | $80.87 | $825 | 73.7× |
| Humana | 14 | 36 | $10.67 | $37.94 | $700 | 65.6× |
| UnitedHealthcare | 13 | 32 | $10.67 | $72.35 | $177.41 | 16.6× |
| WellCare | 14 | 29 | $10.67 | $50 | $134.13 | 12.6× |
| optum ccn region 2 | 12 | 13 | $15.64 | $46.75 | $80.87 | 5.2× |
| optum ccn region 1 | 12 | 13 | $15.64 | $46.75 | $80.87 | 5.2× |
| Molina | 12 | 13 | $15.61 | $19.46 | $40.92 | 2.6× |
| umr | 11 | 12 | $49.4 | $77.11 | $127.44 | 2.6× |
| caresoure kentucky | 11 | 12 | $59.8 | $66.3 | $153.4 | 2.6× |
| medcost | 1 | 6 | $86.72 | $141.18 | $264.92 | 3.1× |
| Cigna | 2 | 6 | $10.67 | $173.85 | $175.59 | 16.5× |
| Multiplan | 2 | 4 | $198.05 | $277.23 | $356.4 | 1.8× |
| Blue Cross Blue Shield | 1 | 4 | $84.35 | $121.66 | $135.67 | 1.6× |
| healthgram lexington home brands | 1 | 2 | $285.12 | $285.12 | $285.12 | 1.0× |
| national provider network | 1 | 2 | $356.4 | $356.4 | $356.4 | 1.0× |
| amerihealth | 1 | 2 | $74.61 | $91.72 | $108.82 | 1.5× |
| amerigroup | 1 | 2 | $10.67 | $45.98 | $81.29 | 7.6× |
| beechstreet | 1 | 2 | $348.48 | $348.48 | $348.48 | 1.0× |
| CareSource | 1 | 2 | $10.67 | $60.21 | $109.75 | 10.3× |
| center care | 1 | 2 | $175.59 | $175.59 | $175.59 | 1.0× |
| commonwealth health alliance | 1 | 2 | $209.7 | $209.7 | $209.7 | 1.0× |
| directnet | 1 | 2 | $234.04 | $234.04 | $234.04 | 1.0× |
| First Health | 1 | 2 | $198.05 | $198.05 | $198.05 | 1.0× |
| healthgram | 1 | 2 | $316.8 | $316.8 | $316.8 | 1.0× |
| oscar | 1 | 2 | $126.72 | $150.48 | $174.24 | 1.4× |
| private healthcare systems | 1 | 2 | $324.72 | $324.72 | $324.72 | 1.0× |
| the health plan | 1 | 2 | $20 | $35.45 | $50.91 | 2.5× |
| alliance coal | 1 | 2 | $12.8 | $67.37 | $121.94 | 9.5× |
| va community care network | 1 | 2 | $10.67 | $45.98 | $81.29 | 7.6× |
| alliance | 1 | 1 | $76.11 | $76.11 | $76.11 | 1.0× |
| trillium | 1 | 1 | $76.86 | $76.86 | $76.86 | 1.0× |
| Ambetter | 1 | 1 | $113.65 | $113.65 | $113.65 | 1.0× |
| healthy blue | 1 | 1 | $74.61 | $74.61 | $74.61 | 1.0× |
| carolina complete | 1 | 1 | $74.61 | $74.61 | $74.61 | 1.0× |
| partners | 1 | 1 | $74.61 | $74.61 | $74.61 | 1.0× |
| vaya | 1 | 1 | $75.36 | $75.36 | $75.36 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HARLAN ARH | HARLAN | KY | 10 | $111 | $66.6 | $17.76 | $80.87 | $103.23 |
| HAZARD ARH | HAZARD | KY | 10 | $112 | $67.2 | $25.13 | $71.56 | $100.8 |
| HIGHLANDS REGIONAL MEDICAL CENTER | PRESTONSBURG | KY | 10 | $111 | $66.6 | $32.19 | $65.72 | $825 |
| MIDDLESBORO ARH | MIDDLESBORO | KY | 10 | $106 | $63.6 | $19.46 | $60.36 | $98.58 |
| PAINTSVILLE ARH HOSPITAL | PAINTSVILLE | KY | 9 | $111 | $66.6 | $15.85 | $55.43 | $97.05 |
| TUG VALLEY ARH | SOUTH WILLIAMSON | KY | 11 | $102 | $61.2 | $15.61 | $50.91 | $91.8 |
| WHITESBURG ARH | WHITESBURG | KY | 10 | $102 | $61.2 | $16.65 | $46.75 | $94.86 |
| BARBOURVILLE ARH HOSPITAL | BARBOURVILLE | KY | 10 | $236 | $141.6 | $40.12 | $40.72 | $207.68 |
| MARY BRECKINRIDGE HOSPITAL | HYDEN | KY | 10 | $236 | $141.6 | $35.4 | $40.48 | $207.68 |
| MORGAN CO. ARH | WEST LIBERTY | KY | 10 | $102 | $61.2 | $21.42 | $22.15 | $89.76 |
| OUR LADY OF THE WAY | MARTIN | KY | 8 | $102 | $61.2 | $20.4 | $20.4 | $89.76 |
| BAPTIST HEALTH LEXINGTON | LEXINGTON | KY | 23 | $396 | $198 | $74.61 | $174.84 | $365.9 |
| MCDOWELL ARH | MCDOWELL | KY | 10 | $102 | $61.2 | $15.64 | $17.69 | $89.76 |
| JENNIE STUART MEDICAL CENTER | HOPKINSVILLE | KY | 14 | $233 | $72.23 | $10.67 | $115.85 | $700 |
| SPRING VIEW HOSPITAL | LEBANON | KY | 0 | $500 | $262.87 | — | — | — |
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.