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CPT 99281 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$75.93
Median
$113.21
Max
$245.31
Range multiplier
3.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield319$17.57$236.36$476.2127.1×
UnitedHealthcare39$7.31$88.48$327.7544.8×
Aetna37$36.00$98.90$305.108.5×
Kaiser Permanente26$17.48$27.72$357.4120.4×
Molina26$7.70$18.38$233.7030.4×
Humana35$11.75$75.93$109.069.3×
Cigna24$36.00$291.32$305.108.5×
Multiplan24$8.46$9.87$325.4438.5×
Medicare Advantage14$11.97$62.59$113.219.5×
community health network of wa [1055]13$20.31$192.15$192.159.5×
ameriben [8000]13$36.00$305.10$305.108.5×
chp advantage [4001]13$13.73$129.83$129.839.5×
personify health [140193]13$8.46$8.46$11.281.3×
first choice generic [8999]13$36.00$305.10$305.108.5×
Ambetter13$40.00$271.20$271.206.8×
First Health13$36.00$305.10$305.108.5×
asuris truadvantage [4011]13$11.97$113.21$113.219.5×
mega life [8005]12$36.00$170.55$305.108.5×
mid west natl life [8006]12$36.00$170.55$305.108.5×
mva progressive [1027]12$38.40$181.92$325.448.5×
first choice [8009]12$36.00$170.55$305.108.5×
pacific source administrators [8010]12$36.00$170.55$305.108.5×
wellpoint [6009]12$15.60$73.91$132.218.5×
mutual of omaha [8007]12$36.00$170.55$305.108.5×
mva state farm [1028]12$38.40$181.92$325.448.5×
pacific source [8008]12$36.00$170.55$305.108.5×
the health plan12$20.00$47.96$75.933.8×
operating engineers [150125]11$245.31$245.31$245.311.0×
optum ccn region 111$75.93$75.93$75.931.0×
optum ccn region 211$75.93$75.93$75.931.0×
painters trust [150126]11$245.31$245.31$245.311.0×
providence health [130125]11$18.19$18.19$18.191.0×
puget sound electric [150131]11$245.31$245.31$245.311.0×
seattle plumb and pipe [150132]11$245.31$245.31$245.311.0×
the health plan hmo11$94.08$94.08$94.081.0×
trusteed plan [150101]11$245.31$245.31$245.311.0×
umr11$88.48$88.48$88.481.0×
washington bakers trust [150102]11$245.31$245.31$245.311.0×
washington employers trust [150103]11$245.31$245.31$245.311.0×
washington state health ins pool [150104]11$245.31$245.31$245.311.0×
welfare pension administration services [150105]11$245.31$245.31$245.311.0×
WellCare11$75.93$75.93$75.931.0×
zenith admin [150106]11$245.31$245.31$245.311.0×
zzjohn alden [150117]11$245.31$245.31$245.311.0×
zzprincipal financial group [150128]11$245.31$245.31$245.311.0×
zzprovidence [150129]11$245.31$245.31$245.311.0×
Anthem BCBS11$75.93$75.93$75.931.0×
benefit md [150113]11$245.31$245.31$245.311.0×
carpenters trust [150122]11$245.31$245.31$245.311.0×
cement masons and plasterers [150127]11$245.31$245.31$245.311.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
East Adams Rural HospitalRitzvilleWA11$112.00$67.20$20.00$75.93$476.21
Valley Medical CenterRentonWA44$653.00$457.10$8.46$245.31$357.41
Wenatchee Valley HospitalWenatcheeWA29$339.00$305.10$7.31$113.21$325.44
Kfh - WashingtonSeattleWA0$459.00$367.20

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.