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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$17.69
Median
$55.43
Max
$174.84
Range multiplier
9.9×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1358$10.67$81.08$206.3319.3×
Aetna1453$11.20$80.87$825.0073.7×
Humana1436$10.67$37.94$700.0065.6×
UnitedHealthcare1332$10.67$72.35$177.4116.6×
WellCare1429$10.67$50.00$134.1312.6×
optum ccn region 21213$15.64$46.75$80.875.2×
optum ccn region 11213$15.64$46.75$80.875.2×
Molina1213$15.61$19.46$40.922.6×
umr1112$49.40$77.11$127.442.6×
caresoure kentucky1112$59.80$66.30$153.402.6×
medcost16$86.72$141.18$264.923.1×
Cigna26$10.67$173.85$175.5916.5×
Multiplan24$198.05$277.23$356.401.8×
Blue Cross Blue Shield14$84.35$121.66$135.671.6×
healthgram lexington home brands12$285.12$285.12$285.121.0×
national provider network12$356.40$356.40$356.401.0×
amerihealth12$74.61$91.72$108.821.5×
amerigroup12$10.67$45.98$81.297.6×
beechstreet12$348.48$348.48$348.481.0×
CareSource12$10.67$60.21$109.7510.3×
center care12$175.59$175.59$175.591.0×
commonwealth health alliance12$209.70$209.70$209.701.0×
directnet12$234.04$234.04$234.041.0×
First Health12$198.05$198.05$198.051.0×
healthgram12$316.80$316.80$316.801.0×
oscar12$126.72$150.48$174.241.4×
private healthcare systems12$324.72$324.72$324.721.0×
the health plan12$20.00$35.45$50.912.5×
alliance coal12$12.80$67.37$121.949.5×
va community care network12$10.67$45.98$81.297.6×
alliance11$76.11$76.11$76.111.0×
trillium11$76.86$76.86$76.861.0×
Ambetter11$113.65$113.65$113.651.0×
healthy blue11$74.61$74.61$74.611.0×
carolina complete11$74.61$74.61$74.611.0×
partners11$74.61$74.61$74.611.0×
vaya11$75.36$75.36$75.361.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Harlan ArhHarlanKY10$111.00$66.60$17.76$80.87$103.23
Hazard ArhHazardKY10$112.00$67.20$25.13$71.56$100.80
Highlands Regional Medical CenterPrestonsburgKY10$111.00$66.60$32.19$65.72$825.00
Middlesboro ArhMiddlesboroKY10$106.00$63.60$19.46$60.36$98.58
Paintsville Arh HospitalPaintsvilleKY9$111.00$66.60$15.85$55.43$97.05
Tug Valley ArhSouth WilliamsonKY11$102.00$61.20$15.61$50.91$91.80
Whitesburg ArhWhitesburgKY10$102.00$61.20$16.65$46.75$94.86
Barbourville Arh HospitalBarbourvilleKY10$236.00$141.60$40.12$40.72$207.68
Mary Breckinridge HospitalHydenKY10$236.00$141.60$35.40$40.48$207.68
Morgan Co. ArhWest LibertyKY10$102.00$61.20$21.42$22.15$89.76
Our Lady Of The WayMartinKY8$102.00$61.20$20.40$20.40$89.76
Baptist Health LexingtonLexingtonKY23$396.00$198.00$74.61$174.84$365.90
Mcdowell ArhMcdowellKY10$102.00$61.20$15.64$17.69$89.76
Jennie Stuart Medical CenterHopkinsvilleKY14$233.00$72.23$10.67$115.85$700.00
Spring View HospitalLebanonKY0$500.00$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.