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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$158.55
Median
$280.63
Max
$1,020.00
Range multiplier
6.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield836$128.51$641.49$1,506.0011.7×
UnitedHealthcare829$1.00$247.72$2,213.002213.0×
Aetna825$124.06$340.17$2,345.0018.9×
Cigna820$1.00$404.35$1,639.001639.0×
Humana815$62.07$258.84$1,399.3022.5×
WellCare713$151.00$277.94$437.452.9×
CareSource510$13.49$287.86$476.8135.4×
First Health39$143.45$1,160.00$1,530.0010.7×
Medicaid17$1.00$119.81$411.32411.3×
Health Net16$62.07$223.06$1,482.1623.9×
Ambetter34$297.67$378.14$458.601.5×
banner health13$62.07$151.00$295.114.8×
devoted health23$160.06$280.63$312.822.0×
Oscar Health23$354.20$444.70$444.701.3×
peach state13$12.84$280.63$326.9525.5×
secure health op rate22$1,083.00$1,083.00$1,083.001.0×
alliant health plan22$280.14$280.14$280.141.0×
alliant op rate22$1,185.00$1,185.00$1,185.001.0×
amerigroup community care22$225.00$244.66$264.321.2×
amerigroup op rate22$259.12$310.25$361.371.4×
arizona medical network12$151.00$223.06$295.112.0×
beech street op rate22$1,530.00$1,530.00$1,530.001.0×
blue mcr replacement12$277.94$277.94$277.941.0×
bridgeway health solutions12$151.00$223.06$295.112.0×
dodge cty op rate22$408.00$408.00$408.001.0×
facility billing - op12$277.94$277.94$277.941.0×
health choice pathway12$151.00$223.06$295.112.0×
health management network12$151.00$223.06$295.112.0×
healthspring mcr replacement12$280.72$282.11$283.501.0×
imperial insurance12$158.55$234.21$309.872.0×
Medicare Advantage12$277.94$277.94$277.941.0×
occunet12$514.19$569.78$625.371.2×
phcs op rate22$1,564.00$1,564.00$1,564.001.0×
riverwood behavioral health12$272.46$306.52$340.581.3×
rural arizona network12$151.00$223.06$295.112.0×
smarthealth12$389.12$389.12$389.121.0×
sonder health plan12$286.08$286.08$286.081.0×
united mine workers of america12$151.00$223.06$295.112.0×
mercy care11$65.18$65.18$65.181.0×
Multiplan11$272.46$272.46$272.461.0×
naphcare11$422.31$422.31$422.311.0×
novanet11$272.46$272.46$272.461.0×
americas choice provider network11$272.46$272.46$272.461.0×
centurion11$408.69$408.69$408.691.0×
care 1st11$62.07$62.07$62.071.0×
peach state health plan op rate11$289.97$289.97$289.971.0×
peach state hp op rate11$365.73$365.73$365.731.0×
arizona complete health11$62.07$62.07$62.071.0×
georgia workers’ compensation11$272.46$272.46$272.461.0×
health choice11$65.18$65.18$65.181.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Marys Sacred Heart HospitalLavoniaGA14$2,032.00$812.80$277.94$389.12$2,345.00
Southern Regional Medical CenterRiverdaleGA27$1,399.30$272.00$12.84$280.63$1,399.30
Chatuge Regional HospitalHiwasseeGA9$400.20$200.10$88.04$276.07$385.00
Union General HospitalBlairsvilleGA9$400.20$200.10$160.08$262.82$340.17
Dodge County HospitalEastmanGA6$770.98$1.00$238.05$1,620.00
West Central Ga Regional HospitalColumbusGA22$1,528.00$1,133.78$62.07$158.55$1,482.16
Perry HospitalPerryGA16$478.39$212.62$1,020.00$1,639.00
Houston Medical CenterWarner RobinsGA16$478.39$212.62$1,020.00$1,639.00
Southwell MedicalAdelGA0$690.00$345.00

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.