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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in NV

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Hospitals
7
Min
$441.5
Median
$938.86
Max
$1,886.22
Range multiplier
4.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE321$371.52$371.56$453.861.2×
UnitedHealthcare519$107.72$875.82$4,08237.9×
Aetna516$394.97$1,194.3$2,130.565.4×
Anthem BCBS413$108.14$810.59$1,886.2217.4×
Cigna511$709$1,273.92$5,0437.1×
Medicare47$394.97$402.87$453.861.1×
govt employees health assn [3081090]16$875.82$875.82$875.821.0×
Humana46$117.26$394.97$1,194.310.2×
medica (commercial) 94265 [3081118]16$1,101.41$1,101.41$1,101.411.0×
Medicaid46$17.39$107.6$108.146.2×
Blue Cross Blue Shield15$426.57$886$929.452.2×
Multiplan45$1,194.3$1,320$2,411.142.0×
national telephone cooperative assn 52103 [3081149]14$875.82$875.82$875.821.0×
Meritain Health14$1,273.92$1,273.92$1,273.921.0×
risk admin svs [3081167]14$196$628.8$1,061.65.4×
silver summit13$108.14$453.86$726.186.7×
imperial insurance companies13$680.79$680.79$839.641.2×
pa health & wellness13$380$426.57$511.881.3×
healthpartners [3081368]13$452$452$4521.0×
Molina23$110.3$453.49$453.864.1×
health partners plan13$334$426.57$639.861.9×
employer direct healthcare22$597.2$616.3$635.41.1×
all other12$746.32$884.28$1,022.241.4×
allied benefit systems inc [3081320]12$1,273.92$1,273.92$1,273.921.0×
avera health plans 46045 [3081018]12$975.35$975.35$975.351.0×
commercial | health plan of nv | all plans22$4,696$4,696$4,6961.0×
commercial | health services coalition | all plans22$1,858.95$1,858.95$1,858.951.0×
commercial | sierra health options | state of nv22$6,687$6,687$6,6871.0×
commercial | teachers health trust | all plans22$2,830.22$2,830.22$2,830.221.0×
coresource 38225 [3081146]12$862.55$882.46$902.361.0×
employee benefit management 12x44 [3081079]12$1,127.95$1,127.95$1,127.951.0×
fedmed inc [3081283]12$1,260.65$1,260.65$1,260.651.0×
First Health22$1,794$1,794$1,7941.0×
group and pension administrators inc [3081098]12$1,194.3$1,194.3$1,194.31.0×
health partners sx009 [3081102]12$822.74$822.74$822.741.0×
intermountain healthcare (hcp)12$453.86$635.41$816.951.8×
keenan22$30$30$301.0×
key benefit administrators [3081332]12$1,273.92$1,273.92$1,273.921.0×
keystone12$387$415.32$443.631.1×
midlands choice 47080 [3081136]12$1,273.92$1,273.92$1,273.921.0×
minnesota health care programs 12k16 [3081295]12$402.08$402.08$402.081.0×
naphcare22$661.18$682.33$703.481.1×
pacificsource health plans [3081333]12$1,127.95$1,127.95$1,127.951.0×
preferred one 41147 [3081160]12$1,273.92$1,273.92$1,273.921.0×
rocky mountain admin llc 83028 [3081168]12$1,061.6$1,061.6$1,061.61.0×
sanford health plan 91184 [3081174]12$1,194.3$1,194.3$1,194.31.0×
surest [3081369]12$875.82$875.82$875.821.0×
tlc advantage llc [3081189]12$1,154.49$1,200.94$1,247.381.1×
triwest12$70$259.66$449.326.4×
umr12$709$840.07$971.131.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ORTHOPEDIC SPECIALTY HOSPITALLAS VEGASNV30$1,327$1,327$111.68$938.86$1,273.92
BATTLE MOUNTAIN GENERAL HOSPITALBATTLE MOUNTAINNV5$694.08$848.5$1,022.24
NORTH VISTA HOSPITALNORTH LAS VEGASNV22$3,195$453$30$453.86$1,510.67
MT. GRANT GENERAL HOSPITALHAWTHORNENV17$2,098.99$426$17.39$441.5$1,008.86
ST. ROSE DOMINICAN - DELIMAHENDERSONNV15$3,588$2,511.6$108.14$1,886.22$6,687
ST. ROSE DOMINICAN - SAN MARTINLAS VEGASNV13$3,588$2,511.6$108.14$1,858.95$6,687
PAM REHAB HOSP OF CENTENNIAL HILLSLAS VEGASNV8$1,650$1,650$453.49$1,237.5$1,402.5

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.