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CPT 99281 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$280.20
Median
$288.96
Max
$616.20
Range multiplier
2.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield848$81.09$363.80$824.7610.2×
Aetna845$78.73$316.52$711.009.0×
Cigna827$90.27$299.05$550.796.1×
UnitedHealthcare823$78.73$319.49$1,898.0024.1×
allied benefits [498]721$247.08$319.49$704.362.9×
cox health systems insurance company [220]721$234.30$279.50$616.202.6×
healthlink [225]721$206.61$324.65$715.743.5×
Humana816$78.73$95.46$587.817.5×
consociate [478]714$230.89$233.06$513.822.2×
med-pay [480]714$276.90$322.50$711.002.6×
phcs [244]714$319.50$344.00$758.402.4×
unicare [568]714$276.90$324.65$715.742.6×
healthscope benefits [258]712$276.90$1,727.00$1,898.006.9×
sarah bush lincoln [636]78$230.89$330.35$1,727.007.5×
First Health88$307.75$319.49$704.362.3×
Multiplan88$212.56$322.50$711.003.3×
coresource [497]77$256.88$259.29$568.802.2×
healthcare sol mercy [609]77$319.50$322.50$711.002.2×
hfn [563]77$340.80$344.00$758.402.2×
hope trust [806]77$247.08$249.40$549.842.2×
health systems inc [620]77$319.50$322.50$711.002.2×
mail handlers [495]77$256.88$259.29$568.802.2×
cox health [757]77$87.14$90.27$99.331.1×
medica [661]77$340.80$344.00$758.402.2×
medica [662]77$87.14$90.27$101.221.2×
nalc health benefit plan [242]77$295.41$299.05$550.791.9×
detego health [868]77$319.50$322.50$711.002.2×
apwu health plan [216]77$295.41$299.05$550.791.9×
preferred health professionals [561]77$321.63$324.65$715.742.2×
priority health [648]77$295.41$299.05$550.791.9×
essence healthcare [221]77$82.99$90.27$94.601.1×
fmh benefit service inc [222]77$256.88$259.29$568.802.2×
beechstreet [551]77$319.50$322.50$711.002.2×
health alliance [224]77$234.30$236.50$552.302.4×
devoted health plan [847]66$88.68$92.63$103.851.2×
Medicare23$78.73$80.30$90.271.1×
php [503200005]13$280.20$282.91$345.111.2×
Workers Comp13$78.73$350.25$443.655.6×
mercy behavioral health [573]33$1,011.00$1,011.00$1,011.001.0×
mh magellan health services [270]22$948.00$948.00$948.001.0×
healthlink [503200007]12$282.91$314.01$345.111.2×
centivo [5032000982]12$149.58$149.58$149.581.0×
6 degrees health [503999050]12$153.52$175.17$196.821.3×
alt wppa [5032000964]12$157.45$220.18$282.911.8×
ku athletics [503200094]11$78.73$78.73$78.731.0×
accarent health [503999034]11$233.50$233.50$233.501.0×
advanced medical pricing solutions [503301513]11$236.18$236.18$236.181.0×
aha-healthcare preferred [503200050]11$307.75$307.75$307.751.0×
allied national [503999937]11$280.20$280.20$280.201.0×
allwell [503200078]11$81.09$81.09$81.091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Barnes Jewish St. Peters HospitalSt. PetersMO36$948.00$568.80$84.46$616.20$1,727.00
Progress West HospitalOfallonMO36$948.00$568.80$84.46$616.20$1,727.00
St. Louis Childrens HospitalSt. LouisMO34$789.00$473.40$82.99$513.64$1,860.00
Parkland Health Center - FarmingtonFarmingtonMO35$430.00$258.00$90.46$288.96$1,898.00
Missouri Baptist Hospital SullivanSullivanMO36$430.00$258.00$94.60$285.95$1,898.00
Missouri Baptist Sullivan HospitalSullivanMO36$430.00$258.00$94.60$285.95$1,898.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO37$426.00$255.60$90.27$283.29$1,898.00
North Kansas City HospitalNorth Kansas CityMO56$467.00$93.40$78.73$280.20$443.65
Barton County Memorial HospitalLamarMO0$386.43$123.27
Cox-Monett HospitalMonettMO0$386.43$117.86
Cox Medical Center BransonBransonMO0$386.43$87.72
Northeast Regional Medical CenterKirksvilleMO0$556.37$306.00
Missouri Delta Medical CenterSikestonMO0$341.00$85.25
Moberly Regional Medical CenterMoberlyMO0$1,856.91$891.32
CoxhealthSpringfieldMO0$9,514.45$2,397.64
Harrison County Community HospitalBethanyMO0$416.00$208.00

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.