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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in IA

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Hospitals
27
Min
$198.40
Median
$266.24
Max
$2,180.00
Range multiplier
11.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare19141$22.55$335.16$3,337.00148.0×
Aetna15118$22.00$230.52$1,950.0088.6×
Blue Cross Blue Shield18110$12.65$198.40$1,117.2088.3×
Cigna1573$23.82$232.68$2,200.0092.4×
medica341$85.50$414.99$1,285.4415.0×
health partners open network1439$15.18$199.47$777.5851.2×
Humana1733$22.55$115.24$505.6822.4×
medica exchange inspire1430$14.41$172.52$809.5856.2×
medica exchange insure1428$16.17$191.37$906.8356.1×
amerigroup1725$24.20$374.53$530.9721.9×
amerivantage1123$22.52$115.24$447.1119.9×
Molina1121$111.95$400.46$2,344.0020.9×
midlands choice318$328.32$1,128.96$1,854.005.6×
millard public schools318$328.32$1,128.96$3,872.0011.8×
greater omaha packing318$328.32$1,128.96$3,872.0011.8×
one world318$328.32$1,128.96$3,872.0011.8×
iowa total care1415$24.20$374.39$423.6717.5×
Multiplan310$335.16$1,152.48$2,101.206.3×
quiktrip310$328.32$1,128.96$1,483.204.5×
phcs310$335.16$1,152.48$1,854.005.5×
Centene39$87.21$404.29$515.805.9×
timpte39$328.32$1,128.96$3,872.0011.8×
bc illinois community28$131.97$1,614.71$3,527.6626.7×
amps35$189.81$913.76$1,122.615.9×
great plains35$89.78$432.18$530.975.9×
pace35$85.50$411.60$505.685.9×
iamolina35$152.95$412.21$525.913.4×
dean health plan15$44.00$253.92$648.4214.7×
Anthem BCBS14$1,496.00$2,094.50$3,274.002.2×
Ambetter24$109.75$368.96$628.175.7×
healthpartners14$1,320.00$1,695.00$2,642.002.0×
health alliance24$109.75$255.11$400.463.6×
meridian health plan24$115.24$263.74$412.243.6×
medical associates health plan13$31.90$192.06$470.1114.7×
common ground13$2,543.00$2,543.00$2,543.001.0×
iowa health13$22.52$115.24$331.9114.7×
wisconsin physician service13$2,883.00$3,035.00$3,035.001.1×
meridian12$115.24$294.06$472.884.1×
health eos plus12$1,056.00$1,056.00$1,056.001.0×
health eos12$1,408.00$1,408.00$1,408.001.0×
quartz health12$44.00$346.21$648.4214.7×
total care12$150.01$332.91$515.803.4×
Medicare12$130.87$238.74$346.612.6×
elap11$692.16$692.16$692.161.0×
quartz group11$3,420.00$3,420.00$3,420.001.0×
trilogy11$3,627.00$3,627.00$3,627.001.0×
quartz one11$2,920.00$2,920.00$2,920.001.0×
creighton university employees11$2,753.00$2,753.00$2,753.001.0×
centivo11$2,513.00$2,513.00$2,513.001.0×
hs technology11$2,701.00$2,701.00$2,701.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mitchell County Regional Health CentOsageIA3$707.60$636.84$130.87$500.01$1,078.07
Chi Health Mercy CorningCorningIA18$1,176.00$564.48$85.50$420.42$1,152.48
Chi Health - Missouri ValleyMissouri ValleyIA19$1,176.00$576.24$85.50$373.38$1,152.48
Iowa Lutheran HospitalDes MoinesIA12$2,431.17$1,944.94$18.32$266.24$1,052.70
St. Lukes Methodist HospitalCedar RapidsIA12$1,548.62$1,238.90$18.37$266.24$1,060.14
Trinity BettendorfBettendorfIA13$1,296.19$1,036.96$19.25$266.24$1,093.57
Allen Memorial HospitalWaterlooIA12$1,208.35$966.68$25.91$266.24$1,160.42
Trinity MuscatineMuscatineIA14$1,296.19$1,036.96$12.65$266.24$3,527.66
Grundy County Mem. HospitalGrundy CenterIA12$1,208.35$966.68$25.91$266.24$1,160.42
Trinity Regional Medical CenterFort DodgeIA10$810.53$648.43$25.47$266.24$1,117.44
The Finley HospitalDubuqueIA17$810.53$648.43$20.24$260.08$3,527.66
Iowa Methodist Medical CenterDes MoinesIA12$2,431.17$1,944.94$14.41$249.46$1,093.57
Unitypoint Health-MarshalltownMarshalltownIA12$1,208.35$966.68$19.25$231.60$964.26
Grinnell Regional Medical CenterGrinnellIA12$1,460.60$1,168.48$17.38$230.52$1,402.18
St. Lukes Regl Medical CenterSioux CityIA12$1,460.60$1,168.48$17.38$230.52$1,402.18
Community Mem. Hospt. SummerSumnerIA12$1,460.60$1,168.48$17.38$230.52$1,402.18
Washington County HospitalWashingtonIA18$1,760.00$880.00$1,056.00$2,180.00$3,627.00
Jones Regional Medical CtrAnamosaIA12$810.53$648.43$19.97$198.40$810.53
Chi Health Mercy Council BluffsCouncil BluffsIA21$2,472.00$1,038.24$229.78$1,137.12$3,872.00
Greene County Medical CenterJeffersonIA0$749.00$419.44
Regional Health Services Of Howard CCrescoIA0$1,273.00
Story County HospitalNevadaIA0$688.00$550.40
Peoples Memorial HospitalIndependenceIA0$1,852.33$1,574.48
Stewart Memorial HospitalLake CityIA0$970.00$776.00
Spencer Municipal HospitalSpencerIA0$812.00$609.00
Mercy Hospital Iowa CityIowa CityIA0$3,079.00$1,477.92
Loring HospitalSac CityIA0$891.00$712.80

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.