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CPT 99283 · negotiated-rate distribution across hospitals in OH

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Hospitals
29
Min
$151.32
Median
$545.00
Max
$768.06
Range multiplier
5.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$164.26$459.82$967.005.9×
Anthem BCBS1899$40.29$554.30$1,182.0029.3×
Aetna2083$41.10$533.59$1,433.0034.9×
Cigna1872$103.10$576.24$1,273.0812.3×
ohio health choice1870$82.95$708.50$981.0011.8×
UnitedHealthcare1967$41.10$427.81$4,051.0098.6×
healthsmart1748$65.18$668.85$924.2114.2×
the health plan1842$40.29$408.32$761.1118.9×
summacare1639$40.29$256.69$1,200.0029.8×
First Health1838$92.43$854.07$904.709.8×
ohio preferred network1636$88.88$872.00$981.0011.0×
Multiplan1734$417.60$981.00$1,032.942.5×
immergrun1530$232.00$545.00$617.402.7×
beech street1530$371.20$872.00$981.002.6×
buckeye plain ministries1530$213.44$501.40$514.502.4×
amish aid community plan1530$213.44$501.40$514.502.4×
amish church fund and workers aid plan1530$213.44$501.40$514.502.4×
century health network1530$394.40$926.50$926.502.3×
christian healthcare ministries1530$232.00$545.00$545.002.3×
clarity1530$417.60$523.20$720.301.7×
private healthcare system1530$399.04$937.40$937.402.3×
configurenet1530$417.60$981.00$981.002.3×
fortified provider network1530$417.60$981.00$981.002.3×
Humana1930$40.70$256.69$1,032.9425.4×
aultcare1628$40.29$565.95$844.0020.9×
Molina1823$40.29$256.69$490.3712.2×
Medicare223$69.52$241.18$450.006.5×
medical mutual traditional/health ohio1122$324.80$720.30$763.002.3×
CareSource1620$41.10$462.04$555.6613.5×
sunrise plan communities816$483.50$545.00$545.001.1×
jp farley1416$417.60$523.20$617.401.5×
Ambetter1516$348.12$462.04$576.241.7×
WellCare1515$193.40$256.69$299.771.5×
perennial advantage of ohio1515$203.07$269.52$314.761.6×
primetime health plan1515$193.40$256.69$299.771.5×
paramount1515$199.20$264.39$308.761.6×
valor health plans1515$203.07$269.52$314.761.6×
medical mutual115$40.29$133.28$524.1413.0×
university health employee plan (contigo)1314$514.50$832.00$832.001.6×
devoted health1414$193.40$256.69$256.691.3×
Medicaid214$44.94$151.46$518.0011.5×
sunrise plain communities714$232.00$514.50$545.002.3×
enterprise group planning48$576.24$576.24$720.301.3×
health ohio network48$596.82$596.82$689.431.2×
Blue Cross Blue Shield26$112.38$397.60$407.793.6×
transplants-case rates [5750]16$241.18$241.18$241.181.0×
ohio ppo connect24$761.11$761.11$761.111.0×
buckeye13$41.10$67.98$249.016.1×
priority health12$90.27$188.02$285.773.2×
buckeye community health plan22$263.85$354.82$445.791.7×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Adena Regional Medical CenterChillicotheOH21$1,087.30$543.65$263.85$768.06$1,060.00
Fayette County Memorial HospWashington Court HouseOH18$1,087.30$543.65$369.68$720.88$1,228.65
Rainbow Babies & Childrens HospitalClevelandOH40$1,029.00$771.75$256.69$663.71$926.10
Uh Geneva Medical CenterGenevaOH37$967.00$725.25$193.40$633.39$2,405.00
Uh Conneaut Medical CenterConneautOH38$967.00$725.25$299.77$633.39$2,150.00
Uh Cleveland Medical CenterClevelandOH40$1,029.00$771.75$256.69$576.24$4,051.00
University Hospitals Avon Rehab HospAvonOH40$1,029.00$771.75$256.69$576.24$4,051.00
University Hospitals Rehab HospitalBeachwoodOH40$1,029.00$771.75$256.69$576.24$4,051.00
Uh Elyria Medical CenterElyriaOH38$1,090.00$817.50$256.69$545.00$2,590.00
Uh Parma Medical CenterParmaOH37$1,090.00$817.50$256.69$545.00$1,433.00
Uh Geauga Medical CenterChardonOH37$1,090.00$817.50$256.69$545.00$2,150.00
Uh Ahuja Medical CenterBeachwoodOH38$1,090.00$817.50$251.79$545.00$2,178.00
Uh Regional HospitalsRichmond HeightsOH37$1,090.00$817.50$256.69$545.00$2,150.00
Uh Portage Medical CenterRavennaOH37$1,090.00$817.50$256.69$545.00$1,703.00
Lake Hospital SystemConcordOH36$1,090.00$817.50$256.69$545.00$1,200.00
Uh St. John Medical CenterWestlakeOH38$1,090.00$817.50$256.69$545.00$2,254.00
Uh Samaritan Medical CenterAshlandOH38$464.00$348.00$164.26$396.26$832.00
Adams County Regional Medical CenterSeamanOH6$518.00$310.80$105.00$241.18$518.00
St. Lukes HospitalMaumeeOH15$540.00$270.00$44.94$151.46$513.09
Twin City HospitalDennisonOH16$718.00$356.13$40.29$151.32$653.38
Harrison Community HospitalCadizOH0$1,034.00$517.00
Barnesville HospitalBarnesvilleOH0$749.00$374.50
Wilson Memorial HospitalSidneyOH0$812.70$406.35
Trumbull Memorial HospitalWarrenOH0$850.00$680.00
Mccullough-Hyde Memorial HospitalOxfordOH0$1,778.78$1,334.08
Bethesda HospitalCincinnatiOH0$2,121.75$1,591.31
Wayne Hospital CompanyGreenvilleOH0$1,163.00$872.25
Good Samaritan HospitalCincinnatiOH0$2,121.75$1,591.31
Henry County Hospital (Cah)NapoleonOH0$715.00$536.25

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.