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CPT 99281 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$275.62
Median
$280.43
Max
$280.43
Range multiplier
1.0×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare636$8.60$268.18$408.7047.5×
Aetna630$74.03$254.50$332.004.5×
Humana624$8.60$77.49$80.349.3×
Anthem BCBS624$8.21$178.29$445.1454.2×
sentara health plan618$8.37$82.70$310.0037.0×
Cigna612$317.50$337.75$360.001.1×
gateway - tier 166$475.00$475.00$475.001.0×
gateway - tier 266$400.00$400.00$400.001.0×
gateway - tier 366$275.00$275.00$275.001.0×
connecticare66$350.00$350.00$350.001.0×
First Health66$8.60$8.60$8.601.0×
vhn - link66$450.00$450.00$450.001.0×
vhn - plus66$385.00$385.00$385.001.0×
vhn - secondary payors66$475.00$475.00$475.001.0×
vhn - ultra66$310.00$310.00$310.001.0×
vhn66$400.00$400.00$400.001.0×
integrated health plan11$425.00$425.00$425.001.0×
national provider network11$480.00$480.00$480.001.0×
corvel11$7.43$7.43$7.431.0×
allcare11$78.76$78.76$78.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$500.00$175.00$8.21$280.43$475.00
Carilion New River Valley Med CenterChristiansburgVA16$500.00$175.00$8.21$280.43$475.00
Carilion Franklin Memorial HospitalRocky MountVA16$500.00$175.00$8.21$280.43$475.00
Carilion Tazewell Community HospitalTazewellVA20$500.00$175.00$7.43$280.43$480.00
Carilion Giles Community HospitalPearisburgVA16$500.00$175.00$8.21$280.43$475.00
Carilion Medical CenterRoanokeVA16$500.00$175.00$8.21$275.62$475.00
Childrens Hospital Of The Kings DaNorfolkVA0$544.36$489.92
Lynn House Of Potomac Valley Inc.AlexandriaVA0$340.00$170.00
Bon Secours Depaul Medical CenterNorfolkVA0$660.00$429.00

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.