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CPT 99281 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$10.59
Median
$88.55
Max
$923.00
Range multiplier
87.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$21.03$251.00$556.0026.4×
UnitedHealthcare13133$5.76$1,070.00$1,493.00259.2×
Aetna1270$10.48$86.02$1,269.00121.1×
Cigna1239$10.48$357.00$1,265.00120.7×
Medicare928$10.48$83.91$88.558.4×
Humana1227$10.48$83.11$354.0033.8×
amerigroup mcr replacement822$83.11$326.00$326.003.9×
Ambetter1118$14.67$109.63$888.0060.5×
Medicare Advantage817$80.63$84.33$84.331.0×
optum va714$83.11$84.33$84.331.0×
smart health714$116.35$118.06$118.061.0×
point comfort underwriters714$74.80$75.90$75.901.0×
nhc advantage714$83.11$84.33$84.331.0×
centurion of tn714$83.11$84.33$84.331.0×
healthspring mcr replacement714$83.11$84.33$84.331.0×
ascension complete612$83.11$83.72$84.331.0×
wellpoint39$84.42$84.42$288.753.4×
farm bureau47$10.69$77.39$77.397.2×
Self-Pay (Cash)77$83.11$84.33$84.331.0×
Oscar Health77$116.35$118.06$118.061.0×
devoted health36$84.42$84.42$84.421.0×
TRICARE56$79.42$80.40$80.961.0×
triwest va pccc36$84.33$84.33$84.331.0×
Medicaid15$51.00$65.78$65.781.3×
WellCare44$10.48$84.42$84.428.1×
galaxy health network33$292.50$292.50$292.501.0×
direct care america33$260.00$260.00$260.001.0×
ehn33$146.25$146.25$146.251.0×
community services network33$211.25$211.25$211.251.0×
initial group33$286.00$286.00$286.001.0×
ccn managed care33$276.25$276.25$276.251.0×
medsave usa33$260.00$260.00$260.001.0×
national provider network33$260.00$260.00$260.001.0×
novanet33$243.75$243.75$243.751.0×
optum33$80.40$80.40$80.401.0×
beech street33$276.25$276.25$276.251.0×
usa managed care organization33$227.50$227.50$227.501.0×
correctional medical services33$195.00$195.00$195.001.0×
Molina12$65.78$74.01$82.231.3×
amerigroup22$9.17$43.80$78.438.6×
americhoice mcr replacement12$79.27$81.38$83.491.1×
blue11$10.48$10.48$10.481.0×
va hospital [600005]11$80.63$80.63$80.631.0×
amerivantage11$9.17$9.17$9.171.0×
provider network of america11$17.82$17.82$17.821.0×
amerigroup mcaid replacement11$77.29$77.29$77.291.0×
bluecare11$28.19$28.19$28.191.0×
tenncare11$28.19$28.19$28.191.0×
transplant optum tenncare [350013]11$124.00$124.00$124.001.0×
generic hospice vbid [10940000101]11$80.63$80.63$80.631.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Thomas Hickman HospitalCentervilleTN5$19.26$923.00$1,386.00
Saint Thomas West HospitalNashvilleTN19$692.25$207.68$19.26$88.55$1,386.00
Saint Thomas Stones River HospitalWoodburyTN18$692.30$207.69$19.26$88.55$1,386.00
Saint Thomas Rutherford HospitalMurfreesboroTN19$692.25$207.68$19.26$88.55$1,386.00
St Thomas Dekalb HospitalSmithvilleTN18$692.30$207.69$19.26$87.27$1,386.00
Saint Thomas Highland HospitalSpartaTN18$692.30$207.69$19.26$87.27$1,386.00
Ascension St Thomas River ParkMcminnvilleTN19$692.25$207.68$19.26$86.02$1,386.00
Saint Thomas Midtown HospitalNashvilleTN20$33.83$84.33$1,269.00
Methodist H/C Memphis Hospt.MemphisTN15$807.00$177.54$51.00$80.63$1,493.00
Morristown-Hamblen HospitalMorristownTN24$325.00$100.75$77.39$116.00$916.00
Roane County Medical CenterHarrimanTN24$325.00$100.75$77.39$116.00$916.00
Fort Loudoun Medical CenterLenoir CityTN24$325.00$104.00$77.39$116.00$916.00
Metro Nashville General HospitalNashvilleTN19$352.00$211.20$5.76$10.59$193.60
Big South Fork Medical CenterOneidaTN0$348.00$104.40
St Thomas AscensionNashvilleTN0$492.91$121.75

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.