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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$280.2
Median
$288.96
Max
$616.2
Range multiplier
2.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield848$81.09$363.8$824.7610.2×
Aetna845$78.73$316.52$7119.0×
Cigna827$90.27$299.05$550.796.1×
UnitedHealthcare823$78.73$319.49$1,89824.1×
allied benefits [498]721$247.08$319.49$704.362.9×
cox health systems insurance company [220]721$234.3$279.5$616.22.6×
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$276.9$322.5$7112.6×
phcs [244]714$319.5$344$758.42.4×
unicare [568]714$276.9$324.65$715.742.6×
healthscope benefits [258]712$276.9$1,727$1,8986.9×
sarah bush lincoln [636]78$230.89$330.35$1,7277.5×
First Health88$307.75$319.49$704.362.3×
Multiplan88$212.56$322.5$7113.3×
coresource [497]77$256.88$259.29$568.82.2×
healthcare sol mercy [609]77$319.5$322.5$7112.2×
hfn [563]77$340.8$344$758.42.2×
hope trust [806]77$247.08$249.4$549.842.2×
health systems inc [620]77$319.5$322.5$7112.2×
mail handlers [495]77$256.88$259.29$568.82.2×
cox health [757]77$87.14$90.27$99.331.1×
medica [661]77$340.8$344$758.42.2×
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$319.5$322.5$7112.2×
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$94.61.1×
fmh benefit service inc [222]77$256.88$259.29$568.82.2×
beechstreet [551]77$319.5$322.5$7112.2×
health alliance [224]77$234.3$236.5$552.32.4×
devoted health plan [847]66$88.68$92.63$103.851.2×
Medicare23$78.73$80.3$90.271.1×
php [503200005]13$280.2$282.91$345.111.2×
Workers Comp13$78.73$350.25$443.655.6×
mercy behavioral health [573]33$1,011$1,011$1,0111.0×
mh magellan health services [270]22$948$948$9481.0×
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$233.5$233.5$233.51.0×
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$280.2$280.2$280.21.0×
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$568.8$84.46$616.2$1,727
PROGRESS WEST HOSPITALOFALLONMO36$948$568.8$84.46$616.2$1,727
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$789$473.4$82.99$513.64$1,860
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$430$258$90.46$288.96$1,898
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO36$430$258$94.6$285.95$1,898
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO36$430$258$94.6$285.95$1,898
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO37$426$255.6$90.27$283.29$1,898
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO56$467$93.4$78.73$280.2$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
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$341$85.25
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0$1,856.91$891.32
COXHEALTHSPRINGFIELDMO0$9,514.45$2,397.64
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$416$208

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.