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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$265.65
Median
$527.47
Max
$1,020.00
Range multiplier
3.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield836$215.31$1,129.28$3,735.0017.3×
UnitedHealthcare829$1.00$391.62$3,316.003316.0×
Aetna825$227.70$651.99$4,146.0018.2×
Cigna820$1.00$672.14$2,175.522175.5×
Humana815$105.34$395.65$2,261.3021.5×
WellCare713$253.00$437.29$682.472.7×
CareSource510$13.49$428.96$728.8254.0×
First Health39$240.35$1,160.00$2,367.409.8×
Medicaid28$1.00$162.20$606.47606.5×
Health Net16$105.34$353.43$2,417.2422.9×
Ambetter34$467.50$586.38$705.261.5×
banner health13$105.34$253.00$453.854.3×
devoted health23$268.18$428.96$481.091.8×
Oscar Health23$541.41$683.89$683.891.3×
peach state13$12.84$428.96$499.7638.9×
secure health op rate22$1,083.00$1,083.00$1,083.001.0×
alliant health plan22$536.94$536.94$536.941.0×
alliant op rate22$1,185.00$1,185.00$1,185.001.0×
amerigroup community care22$315.00$342.52$370.041.2×
amerigroup op rate22$304.85$365.00$425.141.4×
arizona medical network12$253.00$353.43$453.851.8×
beech street op rate22$1,800.00$1,800.00$1,800.001.0×
blue mcr replacement12$427.43$427.43$427.431.0×
bridgeway health solutions12$253.00$353.43$453.851.8×
dodge cty op rate22$480.00$480.00$480.001.0×
facility billing - op12$427.43$427.43$427.431.0×
health choice pathway12$253.00$353.43$453.851.8×
health management network12$253.00$353.43$453.851.8×
healthspring mcr replacement12$431.70$433.84$435.981.0×
imperial insurance12$265.65$371.10$476.551.8×
Medicare Advantage12$427.43$427.43$427.431.0×
occunet12$790.75$876.24$961.721.2×
phcs op rate22$1,840.00$1,840.00$1,840.001.0×
riverwood behavioral health12$416.47$468.53$520.591.3×
rural arizona network12$253.00$353.43$453.851.8×
smarthealth12$598.40$598.40$598.401.0×
sonder health plan12$437.29$437.29$437.291.0×
united mine workers of america12$253.00$353.43$453.851.8×
mercy care11$110.61$110.61$110.611.0×
Multiplan11$416.47$416.47$416.471.0×
naphcare11$645.53$645.53$645.531.0×
novanet11$416.47$416.47$416.471.0×
americas choice provider network11$416.47$416.47$416.471.0×
centurion11$624.71$624.71$624.711.0×
care 1st11$105.34$105.34$105.341.0×
peach state health plan op rate11$341.14$341.14$341.141.0×
peach state hp op rate11$430.27$430.27$430.271.0×
arizona complete health11$105.34$105.34$105.341.0×
georgia workers’ compensation11$416.47$416.47$416.471.0×
health choice11$110.61$110.61$110.611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Marys Sacred Heart HospitalLavoniaGA14$3,406.00$1,362.40$427.43$598.40$4,146.00
Chatuge Regional HospitalHiwasseeGA9$767.05$383.53$168.75$527.47$651.99
Union General HospitalBlairsvilleGA9$767.05$383.53$306.82$496.67$660.09
Southern Regional Medical CenterRiverdaleGA28$2,261.30$416.00$12.84$422.72$2,261.30
Dodge County HospitalEastmanGA6$1,136.77$1.00$372.27$1,620.00
West Central Ga Regional HospitalColumbusGA22$2,492.00$1,849.07$105.34$265.65$2,417.24
Perry HospitalPerryGA16$751.34$304.85$1,020.00$1,840.00
Houston Medical CenterWarner RobinsGA16$751.34$333.93$1,020.00$1,840.00
Southwell MedicalAdelGA0$1,069.00$534.50

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.