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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$92.6
Median
$174.31
Max
$576.6
Range multiplier
6.2×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1356$47.4$320.1$550.8111.6×
Aetna1452$47.4$239.66$1,206.7425.5×
Humana1436$66.41$133.44$1,149.2817.3×
UnitedHealthcare1332$47.4$251.41$585.0912.3×
WellCare1429$47.4$191.74$421.818.9×
Molina1212$69.69$91.29$144.352.1×
optum ccn region 21212$78.71$153.56$254.33.2×
optum ccn region 11212$78.71$153.56$254.33.2×
caresoure kentucky1111$277.8$300.95$409.51.5×
umr1111$217.16$344.47$375.921.7×
Cigna27$66.41$506.38$578.568.7×
medcost16$286.01$465.59$873.713.1×
Multiplan25$114.75$571.16$1,175.410.2×
Blue Cross Blue Shield14$278.18$401.21$447.441.6×
First Health13$114.75$571.16$571.165.0×
center care13$101.74$506.38$506.385.0×
commonwealth health alliance13$121.5$604.76$604.765.0×
national provider network12$1,175.4$1,175.4$1,175.41.0×
oscar12$417.92$496.28$574.641.4×
private healthcare systems12$1,070.92$1,070.92$1,070.921.0×
the health plan12$97.75$128.92$160.091.6×
amerigroup12$66.41$161.03$255.643.8×
alliance coal12$79.69$231.58$383.464.8×
va community care network12$66.41$161.03$255.643.8×
amerihealth12$246.05$302.47$358.891.5×
beechstreet12$1,149.28$1,149.28$1,149.281.0×
directnet12$771.85$771.85$771.851.0×
healthgram12$1,044.8$1,044.8$1,044.81.0×
healthgram lexington home brands12$940.32$940.32$940.321.0×
CareSource12$66.41$205.77$345.125.2×
alliance11$251.01$251.01$251.011.0×
beacon health11$47.4$47.4$47.41.0×
carolina complete11$246.05$246.05$246.051.0×
christian county health dept-cchd11$47.4$47.4$47.41.0×
healthy blue11$246.05$246.05$246.051.0×
Ambetter11$374.82$374.82$374.821.0×
partners11$246.05$246.05$246.051.0×
trillium11$253.49$253.49$253.491.0×
vaya11$248.53$248.53$248.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
OUR LADY OF THE WAYMARTINKY8$463$277.8$92.6$92.6$407.44
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$1,306$653$246.05$576.6$1,206.74
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$671.95$208.31$47.4$255.64$700
HARLAN ARHHARLANKY10$488$292.8$78.08$254.3$453.84
HAZARD ARHHAZARDKY10$508$304.8$114$225.02$457.2
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$488$292.8$141.52$206.66$825
MIDDLESBORO ARHMIDDLESBOROKY10$480$288$88.13$189.8$446.4
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$488$292.8$69.69$174.31$426.66
TUG VALLEY ARHSOUTH WILLIAMSONKY11$467$280.2$71.45$160.09$420.3
WHITESBURG ARHWHITESBURGKY10$463$277.8$75.56$147.02$430.59
BARBOURVILLE ARH HOSPITALBARBOURVILLEKY10$630$378$107.1$108.71$554.4
MARY BRECKINRIDGE HOSPITALHYDENKY10$630$378$94.5$108.05$554.4
MORGAN CO. ARHWEST LIBERTYKY10$463$277.8$97.23$100.52$407.44
MCDOWELL ARHMCDOWELLKY10$463$277.8$78.71$100.33$407.44
SPRING VIEW HOSPITALLEBANONKY0$1,500$673.62

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.