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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in AR

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Hospitals
4
Min
$31.75
Median
$192.64
Max
$491.97
Range multiplier
15.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield339$31.75$276.3$835.5626.3×
UnitedHealthcare321$31.75$188.8$2,28672.0×
amerihealth18$80$119.17$529.096.6×
Cigna38$31.75$197.36$63019.8×
Medicare37$31.75$152.74$519.0216.3×
Aetna37$31.75$230.25$967.4830.5×
blue advantage25$110.41$276.3$7656.9×
health advantage25$110.41$276.3$7656.9×
Anthem BCBS25$110.41$276.3$7656.9×
univera15$98.57$115.96$139.161.4×
municipal health benefit14$153.5$347.1$1,2508.1×
TRICARE24$31.75$152.74$152.744.8×
community care behavorial health university of pittsburgh medical center14$137.5$137.5$137.51.0×
blue card14$110.41$495.34$7656.9×
geisinger14$138.23$145.38$152.531.1×
arkansas firstsource14$110.41$495.34$7656.9×
Humana34$31.75$152.74$534.1316.8×
community care behavorial health healthchoices13$137.5$137.5$137.51.0×
qualchoice exchange23$307$850$1,2804.2×
Self-Pay (Cash)12$153.5$289.25$4252.8×
amco12$307$578.5$8502.8×
Ambetter22$44.45$77.43$110.412.5×
qualchoice of arkansas12$307$578.5$8502.8×
pennsylvania health and wellness12$125.84$134.42$1431.1×
medipak advantage22$31.75$92.25$152.744.8×
WellCare22$31.75$92.25$152.744.8×
usable life group health12$307$578.5$8502.8×
mutual of omaha12$307$578.5$8502.8×
municipal health11$600$600$6001.0×
municipal health benefit fund11$600$600$6001.0×
nalc11$630$630$6301.0×
nalc health benefit plan11$630$630$6301.0×
nalc medical claims11$630$630$6301.0×
optumhealth11$152.74$152.74$152.741.0×
priority health11$630$630$6301.0×
providence health plan11$630$630$6301.0×
qualchoice11$1,280$1,280$1,2801.0×
qualchoice adv hmo11$1,280$1,280$1,2801.0×
qualchoice advantage11$152.74$152.74$152.741.0×
qualchoice health ins11$1,280$1,280$1,2801.0×
railroad retirement11$31.75$31.75$31.751.0×
s&s healthcare strategies11$630$630$6301.0×
sterling option 111$31.75$31.75$31.751.0×
true blue11$248.05$248.05$248.051.0×
true blue metallic11$248.05$248.05$248.051.0×
tufts health plan11$630$630$6301.0×
units11$1$1$11.0×
va ccn optum11$31.75$31.75$31.751.0×
va ccn optum health11$152.74$152.74$152.741.0×
va cnn optum11$31.75$31.75$31.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CONWAY REGIONAL MEDICAL CENTER INCCONWAYAR1$491.97$482.13$491.97$491.97$491.97
ARKANSAS SURGICAL HOSPITALNORTH LITTLE ROCKAR57$1,000$297.66$1$31.75$1,280
OUACHITA COUNTY MEDICAL CENTERCAMDENAR30$850$71.5$192.64$2,286
DREW MEMORIAL HOSPITAL INCMONTICELLOAR17$1,916$1,494.48$80$152.71$967.48

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.