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ED visit level 2

CPT 99282 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$38.40
Median
$154.71
Max
$1,243.00
Range multiplier
32.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13135$33.83$401.00$3,892.00115.0×
UnitedHealthcare13133$21.12$1,474.00$1,910.0090.4×
Aetna1270$37.71$154.69$1,910.0050.6×
Cigna1239$38.40$817.00$1,265.0032.9×
Medicare928$38.40$150.90$159.244.1×
amerigroup mcr replacement826$149.48$326.00$326.002.2×
Humana1225$38.40$149.48$151.663.9×
Ambetter1118$53.76$197.16$888.0016.5×
Medicare Advantage817$145.01$151.66$151.661.0×
optum va714$149.48$151.66$151.661.0×
smart health714$209.27$212.32$212.321.0×
point comfort underwriters714$134.53$136.49$136.491.0×
nhc advantage714$149.48$151.66$151.661.0×
centurion of tn714$149.48$151.66$151.661.0×
healthspring mcr replacement714$149.48$151.66$151.661.0×
ascension complete612$149.48$150.57$151.661.0×
wellpoint39$151.83$151.83$325.502.1×
farm bureau47$39.17$142.55$142.553.6×
Self-Pay (Cash)77$149.48$151.66$151.661.0×
Oscar Health77$209.27$212.32$212.321.0×
devoted health36$151.83$151.83$151.831.0×
TRICARE56$144.60$145.10$146.301.0×
triwest va pccc36$151.66$151.66$151.661.0×
Medicaid15$51.00$121.18$121.182.4×
WellCare44$38.40$151.83$151.834.0×
galaxy health network33$527.40$527.40$527.401.0×
direct care america33$468.80$468.80$468.801.0×
ehn33$263.70$263.70$263.701.0×
community services network33$380.90$380.90$380.901.0×
initial group33$515.68$515.68$515.681.0×
ccn managed care33$498.10$498.10$498.101.0×
medsave usa33$468.80$468.80$468.801.0×
national provider network33$468.80$468.80$468.801.0×
novanet33$439.50$439.50$439.501.0×
optum33$144.60$144.60$144.601.0×
beech street33$498.10$498.10$498.101.0×
usa managed care organization33$410.20$410.20$410.201.0×
correctional medical services33$351.60$351.60$351.601.0×
Molina12$121.18$136.33$151.481.3×
amerigroup22$33.60$87.32$141.044.2×
americhoice mcr replacement12$142.56$146.35$150.141.1×
blue11$38.40$38.40$38.401.0×
va hospital [600005]11$145.01$145.01$145.011.0×
amerivantage11$33.60$33.60$33.601.0×
provider network of america11$65.28$65.28$65.281.0×
amerigroup mcaid replacement11$139.02$139.02$139.021.0×
bluecare11$28.19$28.19$28.191.0×
tenncare11$28.19$28.19$28.191.0×
transplant optum tenncare [350013]11$168.00$168.00$168.001.0×
generic hospice vbid [10940000101]11$145.01$145.01$145.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Metro Nashville General HospitalNashvilleTN19$595.00$357.00$21.12$38.40$327.25
Saint Thomas Rutherford HospitalMurfreesboroTN19$1,910.00$573.00$37.71$159.24$1,910.00
Saint Thomas West HospitalNashvilleTN19$1,910.00$573.00$37.71$159.24$1,910.00
Saint Thomas Stones River HospitalWoodburyTN18$1,910.00$573.00$37.71$156.97$1,910.00
St Thomas Dekalb HospitalSmithvilleTN18$1,910.00$573.00$33.83$156.95$1,910.00
Saint Thomas Highland HospitalSpartaTN18$1,910.00$573.00$37.71$154.71$1,910.00
Ascension St Thomas River ParkMcminnvilleTN19$1,910.00$573.00$37.71$154.71$1,910.00
Morristown-Hamblen HospitalMorristownTN24$586.00$181.66$142.55$151.83$1,393.00
Roane County Medical CenterHarrimanTN24$586.00$181.66$142.55$151.83$1,393.00
Fort Loudoun Medical CenterLenoir CityTN24$586.00$187.52$142.55$151.83$1,393.00
Saint Thomas Midtown HospitalNashvilleTN20$33.83$151.66$1,686.00
Methodist H/C Memphis Hospt.MemphisTN15$944.00$207.68$51.00$145.66$3,892.00
St Thomas Hickman HospitalCentervilleTN5$37.71$1,243.00$1,910.00
Big South Fork Medical CenterOneidaTN0$640.00$192.00
St Thomas AscensionNashvilleTN0$914.28$225.83

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.