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CPT 99281 · negotiated-rate distribution across hospitals in OH

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Hospitals
29
Min
$48.16
Median
$200.00
Max
$241.18
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$57.35$166.40$318.005.5×
Anthem BCBS1899$12.58$184.80$550.0043.7×
Aetna2086$12.37$174.86$424.0034.3×
Cigna1872$32.19$184.24$522.2116.2×
ohio health choice1870$25.90$260.00$360.0013.9×
UnitedHealthcare1967$7.24$149.36$971.00134.1×
healthsmart1748$20.35$213.85$354.4517.4×
the health plan1842$12.58$142.56$319.4325.4×
summacare1639$12.58$81.63$354.4528.2×
First Health1838$28.86$276.36$332.0011.5×
ohio preferred network1636$27.75$304.43$360.0013.0×
Multiplan1734$145.80$322.80$360.002.5×
amish church fund and workers aid plan1530$74.52$184.00$184.002.5×
private healthcare system1530$139.32$344.00$344.002.5×
buckeye plain ministries1530$74.52$184.00$184.002.5×
amish aid community plan1530$74.52$184.00$184.002.5×
century health network1530$137.70$340.00$340.002.5×
christian healthcare ministries1530$81.00$200.00$200.002.5×
clarity1530$145.80$192.00$230.301.6×
configurenet1530$145.80$360.00$360.002.5×
fortified provider network1530$145.80$360.00$360.002.5×
Humana1930$11.01$81.63$322.8029.3×
immergrun1530$81.00$200.00$200.002.5×
beech street1530$129.60$320.00$360.002.8×
aultcare1628$12.58$180.95$287.0022.8×
Molina1823$12.58$81.63$153.2512.2×
Medicare223$11.01$241.18$450.0040.9×
medical mutual traditional/health ohio1122$113.40$230.30$280.002.5×
CareSource1620$12.84$146.93$177.6613.8×
sunrise plan communities816$159.00$200.00$200.001.3×
jp farley1416$145.80$186.12$197.401.4×
Ambetter1516$114.48$146.93$184.241.6×
WellCare1515$63.60$81.63$98.581.6×
valor health plans1515$66.78$85.71$103.511.6×
medical mutual115$12.58$45.56$304.4124.2×
primetime health plan1515$63.60$81.63$98.581.6×
perennial advantage of ohio1515$66.78$85.71$103.511.6×
paramount1515$65.51$84.07$101.541.5×
sunrise plain communities714$81.00$164.50$200.002.5×
Medicaid214$7.24$105.00$205.0028.3×
university health employee plan (contigo)1314$164.50$364.00$364.002.2×
devoted health1414$63.60$81.63$81.631.3×
enterprise group planning48$184.24$184.24$230.301.3×
health ohio network48$190.82$190.82$220.431.2×
Blue Cross Blue Shield26$18.11$166.05$170.319.4×
transplants-case rates [5750]16$241.18$241.18$241.181.0×
ohio ppo connect24$237.85$237.85$237.851.0×
buckeye13$12.84$23.24$144.6211.3×
priority health12$31.55$76.11$120.663.8×
buckeye community health plan22$83.90$111.61$139.311.7×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Twin City HospitalDennisonOH16$417.00$206.84$12.58$50.79$379.47
St. Lukes HospitalMaumeeOH14$228.00$114.00$7.24$48.16$450.00
Adams County Regional Medical CenterSeamanOH6$205.00$123.00$96.86$241.18$241.18
Adena Regional Medical CenterChillicotheOH21$339.79$169.90$83.90$234.29$322.80
Fayette County Memorial HospWashington Court HouseOH18$339.79$169.90$115.53$225.28$383.96
Rainbow Babies & Childrens HospitalClevelandOH40$329.00$246.75$81.63$212.21$364.00
Uh Conneaut Medical CenterConneautOH38$318.00$238.50$98.58$208.29$722.00
Uh Geneva Medical CenterGenevaOH37$318.00$238.50$63.60$208.29$807.00
Lake Hospital SystemConcordOH36$400.00$300.00$81.63$200.00$387.00
Uh St. John Medical CenterWestlakeOH38$400.00$300.00$81.63$200.00$743.00
Uh Regional HospitalsRichmond HeightsOH37$400.00$300.00$81.63$200.00$722.00
Uh Portage Medical CenterRavennaOH37$400.00$300.00$81.63$200.00$782.00
Uh Elyria Medical CenterElyriaOH38$400.00$300.00$81.63$200.00$725.00
Uh Geauga Medical CenterChardonOH37$400.00$300.00$81.63$200.00$722.00
Uh Ahuja Medical CenterBeachwoodOH38$400.00$300.00$81.63$200.00$700.00
Uh Parma Medical CenterParmaOH37$400.00$300.00$81.63$200.00$971.00
Uh Cleveland Medical CenterClevelandOH40$329.00$246.75$81.63$184.24$969.00
University Hospitals Avon Rehab HospAvonOH40$329.00$246.75$81.63$184.24$969.00
University Hospitals Rehab HospitalBeachwoodOH40$329.00$246.75$81.63$184.24$969.00
Uh Samaritan Medical CenterAshlandOH38$162.00$121.50$57.35$137.70$364.00
Henry County Hospital (Cah)NapoleonOH0$230.00$172.50
Harrison Community HospitalCadizOH0$416.00$208.00
Barnesville HospitalBarnesvilleOH0$298.00$149.00
Wilson Memorial HospitalSidneyOH0$286.65$143.33
Mccullough-Hyde Memorial HospitalOxfordOH0$1,165.40$874.05
Bethesda HospitalCincinnatiOH0$652.05$489.04
Wayne Hospital CompanyGreenvilleOH0$363.00$272.25
Good Samaritan HospitalCincinnatiOH0$652.05$489.04
Trumbull Memorial HospitalWarrenOH0$450.00$360.00

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.