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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in KY

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Hospitals
15
Min
$317.82
Median
$514.02
Max
$914.35
Range multiplier
2.9×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1356$74.05$857.56$2,793.3937.7×
Aetna1454$74.05$707.56$2,875.5038.8×
Humana1436$113.36$470.92$1,822.4816.1×
UnitedHealthcare1333$74.05$813.90$2,364.3031.9×
WellCare1430$74.05$467.62$754.7510.2×
optum ccn region 11213$116.15$346.06$617.005.3×
optum ccn region 21213$116.15$346.06$617.005.3×
caresoure kentucky1112$191.65$1,869.13$1,917.0010.0×
Molina1212$439.68$504.42$910.772.1×
umr1111$1,297.41$2,164.30$2,364.301.8×
Cigna27$113.36$900.89$931.748.2×
medcost16$453.55$738.32$1,385.503.1×
Multiplan25$194.65$1,050.93$1,863.909.6×
Blue Cross Blue Shield14$441.12$636.21$709.521.6×
First Health13$194.65$1,050.93$1,050.935.4×
center care13$172.57$931.74$931.745.4×
commonwealth health alliance13$206.10$1,112.75$1,112.755.4×
national provider network12$1,863.90$1,863.90$1,863.901.0×
oscar12$662.72$786.98$911.241.4×
private healthcare systems12$1,698.22$1,698.22$1,698.221.0×
the health plan12$191.80$219.00$246.191.3×
amerigroup12$113.36$253.25$393.143.5×
alliance coal12$136.03$362.87$589.714.3×
va community care network12$113.36$253.25$393.143.5×
amerihealth12$390.18$479.65$569.111.5×
beechstreet12$1,822.48$1,822.48$1,822.481.0×
directnet12$1,223.96$1,223.96$1,223.961.0×
healthgram12$1,656.80$1,656.80$1,656.801.0×
healthgram lexington home brands12$1,491.12$1,491.12$1,491.121.0×
CareSource12$113.36$322.05$530.744.7×
alliance11$398.05$398.05$398.051.0×
beacon health11$74.05$74.05$74.051.0×
carolina complete11$390.18$390.18$390.181.0×
christian county health dept-cchd11$74.05$74.05$74.051.0×
healthy blue11$390.18$390.18$390.181.0×
Ambetter11$594.38$594.38$594.381.0×
partners11$390.18$390.18$390.181.0×
trillium11$401.98$401.98$401.981.0×
vaya11$394.11$394.11$394.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Baptist Health LexingtonLexingtonKY23$2,071.00$1,035.50$390.18$914.35$1,913.60
Whitesburg ArhWhitesburgKY10$2,909.00$1,745.40$226.10$843.61$2,705.37
Hazard ArhHazardKY10$3,195.00$1,917.00$346.06$716.96$2,875.50
Morgan Co. ArhWest LibertyKY10$2,909.00$1,745.40$610.89$631.55$2,559.92
Our Lady Of The WayMartinKY8$2,909.00$1,745.40$581.80$581.80$2,559.92
Middlesboro ArhMiddlesboroKY10$3,019.00$1,811.40$291.89$554.29$2,807.67
Mcdowell ArhMcdowellKY10$2,909.00$1,745.40$494.53$514.02$2,559.92
Barbourville Arh HospitalBarbourvilleKY10$2,909.00$1,745.40$494.53$501.95$2,559.92
Mary Breckinridge HospitalHydenKY10$2,909.00$1,745.40$436.35$498.90$2,559.92
Harlan ArhHarlanKY10$3,079.00$1,847.40$391.07$492.64$2,863.47
Tug Valley ArhSouth WilliamsonKY11$2,936.00$1,761.60$191.80$449.21$2,642.40
Paintsville Arh HospitalPaintsvilleKY9$3,079.00$1,847.40$268.07$439.68$2,691.97
Jennie Stuart Medical CenterHopkinsvilleKY16$1,236.39$383.29$74.05$393.14$1,177.66
Highlands Regional Medical CenterPrestonsburgKY10$3,079.00$1,847.40$74.05$317.82$2,691.97
Spring View HospitalLebanonKY0$2,811.31$1,124.52

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.