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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$1,249.05
Median
$1,645.20
Max
$2,284.36
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield836$401.26$1,833.52$3,275.558.2×
Cigna822$1,223.47$1,464.68$2,187.471.8×
consociate [478]714$1,066.11$1,155.54$2,040.631.9×
healthscope benefits [258]710$1,278.55$1,727.00$3,000.802.3×
UnitedHealthcare610$389.57$1,175.16$1,898.004.9×
allied benefits [498]710$1,140.86$2,179.64$2,441.902.1×
Humana710$389.57$1,417.78$2,794.507.2×
Aetna69$389.57$469.04$2,441.906.3×
sarah bush lincoln [636]78$1,066.11$1,441.27$2,040.631.9×
priority health [648]77$1,380.83$1,464.68$2,187.471.6×
hope trust [806]77$1,140.86$1,236.56$2,183.701.9×
apwu health plan [216]77$1,380.83$1,464.68$2,187.471.6×
nalc health benefit plan [242]77$1,380.83$1,464.68$2,187.471.6×
med-pay [480]66$1,599.00$2,206.13$2,823.751.8×
phcs [244]66$1,705.60$2,353.20$3,012.001.8×
health alliance [224]66$1,172.60$1,621.68$2,625.702.2×
medica [661]66$1,705.60$2,353.20$3,012.001.8×
cox health systems insurance company [220]66$1,172.60$1,617.83$2,070.751.8×
healthcare sol mercy [609]66$1,599.00$2,206.13$2,823.751.8×
coresource [497]33$2,259.00$2,259.00$2,441.901.1×
mail handlers [495]33$2,259.00$2,259.00$2,441.901.1×
fmh benefit service inc [222]33$2,259.00$2,259.00$2,441.901.1×
php [503200005]13$1,645.20$1,661.10$2,026.341.2×
Workers Comp13$389.57$2,056.50$2,604.906.7×
mercy behavioral health [573]33$1,011.00$1,011.00$1,011.001.0×
6 degrees health [503999050]12$759.66$866.79$973.921.3×
cox health [757]22$492.49$492.49$492.491.0×
devoted health plan [847]22$514.88$514.88$514.881.0×
medica [662]22$501.87$501.87$501.871.0×
Medicare12$389.57$393.47$397.361.0×
essence healthcare [221]22$469.04$469.04$469.041.0×
alt wppa [5032000964]12$779.14$1,220.12$1,661.102.1×
centivo [5032000982]12$740.18$740.18$740.181.0×
healthlink [503200007]12$1,661.10$1,843.72$2,026.341.2×
occunet [503999930]11$818.10$818.10$818.101.0×
orscheln industries [503201608]11$2,056.50$2,056.50$2,056.501.0×
oscar [503201609]11$740.18$740.18$740.181.0×
plan care america [503999026]11$2,467.80$2,467.80$2,467.801.0×
point comfort underwriters [503200018]11$2,193.60$2,193.60$2,193.601.0×
quiktrip [5032000412]11$2,193.60$2,193.60$2,193.601.0×
sanford health plan [503999027]11$2,467.80$2,467.80$2,467.801.0×
three rivers provider network [503999029]11$2,467.80$2,467.80$2,467.801.0×
usa managed care [503999030]11$2,467.80$2,467.80$2,467.801.0×
wellfit [503301514]11$740.18$740.18$740.181.0×
wppa [503200056]11$2,303.28$2,303.28$2,303.281.0×
accarent health [503999034]11$1,371.00$1,371.00$1,371.001.0×
advanced medical pricing solutions [503301513]11$1,168.71$1,168.71$1,168.711.0×
aha-healthcare preferred [503200050]11$1,806.98$1,806.98$1,806.981.0×
allied national [503999937]11$1,645.20$1,645.20$1,645.201.0×
allwell [503200078]11$401.26$401.26$401.261.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Louis Childrens HospitalSt. LouisMO22$3,751.00$2,250.60$1,845.49$2,284.36$3,188.35
Barnes Jewish St. Peters HospitalSt. PetersMO22$3,765.00$2,259.00$1,727.00$2,187.47$3,275.55
Progress West HospitalOfallonMO22$3,765.00$2,259.00$1,727.00$2,187.47$3,275.55
North Kansas City HospitalNorth Kansas CityMO56$2,742.00$548.40$389.57$1,645.20$2,604.90
Parkland Health Center - FarmingtonFarmingtonMO17$2,132.00$1,279.20$1,155.54$1,447.63$1,854.84
Missouri Baptist Hospital SullivanSullivanMO24$2,132.00$1,279.20$469.04$1,312.25$1,898.00
Missouri Baptist Sullivan HospitalSullivanMO24$2,132.00$1,279.20$469.04$1,312.25$1,898.00
Parkland Hlth Ctr - Bonne TerreBonne TerreMO11$1,967.00$1,180.20$1,011.00$1,249.05$1,723.09
Barton County Memorial HospitalLamarMO0$2,199.76$701.72
Cox-Monett HospitalMonettMO0$2,199.76$670.93
Cox Medical Center BransonBransonMO0$2,199.76$499.35
Moberly Regional Medical CenterMoberlyMO0$5,498.41$2,639.24
Missouri Delta Medical CenterSikestonMO0$1,880.75$470.19
Northeast Regional Medical CenterKirksvilleMO0$2,587.08$1,422.89
CoxhealthSpringfieldMO0$10,743$2,707.24
Harrison County Community HospitalBethanyMO0$1,494.00$747.00

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.