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ED visit level 1

CPT 99281 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$225.7
Median
$309.43
Max
$5,377
Range multiplier
23.8×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$74.08$117.78$219.963.0×
UnitedHealthcare536$89.32$312.62$5,37760.2×
govt employees health assn [3081090]424$210.54$312.62$312.621.5×
medica (commercial) 94265 [3081118]424$264.77$312.62$312.621.2×
Cigna424$306.24$315.81$315.811.0×
Blue Cross Blue Shield423$91.55$283.91$5,37758.7×
healthpartners [3081368]421$91$312.62$312.623.4×
risk admin svs [3081167]416$48.61$151.91$255.25.2×
Meritain Health416$306.24$315.81$315.811.0×
national telephone cooperative assn 52103 [3081149]416$210.54$312.62$312.621.5×
Aetna412$287.1$295.08$303.051.1×
Humana510$11.06$319$5,377486.2×
tlc advantage llc [3081189]59$299.86$299.86$313.021.0×
midlands choice 47080 [3081136]48$306.24$315.81$315.811.0×
allied benefit systems inc [3081320]48$306.24$315.81$315.811.0×
avera health plans 46045 [3081018]48$234.47$309.43$309.431.3×
coresource 38225 [3081146]48$207.35$287.1$287.11.4×
employee benefit management 12x44 [3081079]48$271.15$287.1$287.11.1×
fedmed inc [3081283]48$303.05$309.43$309.431.0×
health partners sx009 [3081102]48$197.78$312.62$312.621.6×
key benefit administrators [3081332]48$306.24$315.81$315.811.0×
pacificsource health plans [3081333]48$271.15$287.1$287.11.1×
preferred one 41147 [3081160]48$306.24$315.81$315.811.0×
rocky mountain admin llc 83028 [3081168]48$255.2$287.1$287.11.1×
sanford health plan 91184 [3081174]48$287.1$309.43$309.431.1×
surest [3081369]48$210.54$312.62$312.621.5×
va ccn optum [3081339]44$10.53$89.32$118.0311.2×
Medicare44$89.32$103.68$5,37760.2×
Multiplan24$287.1$298.27$309.431.1×
group and pension administrators inc [3081098]24$287.1$298.27$309.431.1×
va black hills health care system 12115 [3081206]44$10.53$89.32$118.0311.2×
va black hills health care system 12115 [3081207]33$89.32$89.32$118.031.3×
VA Health33$89.32$89.32$118.031.3×
Health Net33$89.32$89.32$118.031.3×
triwest healthcare alliance [3081322]33$89.32$89.32$118.031.3×
minnesota health care programs 12k16 [3081295]12$96.66$96.66$96.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD5$333$333$313.02$5,377$5,377
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$319$319$48.61$312.62$319
MONUMENT HEALTH LEAD-DEADWOOD HOSPITDEADWOODSD33$319$319$48.61$309.43$319
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$319$319$48.61$309.43$319
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD30$319$319$10.53$225.7$306.24

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.