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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in OH

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Hospitals
29
Min
$232.92
Median
$855.50
Max
$1,252.49
Range multiplier
5.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17111$257.36$723.75$1,375.005.3×
Anthem BCBS1899$71.04$835.16$3,251.0045.8×
Aetna2083$74.39$758.73$1,991.0026.8×
Cigna1872$186.62$796.49$1,982.0010.6×
ohio health choice1870$150.15$1,112.15$1,539.9010.3×
UnitedHealthcare1967$74.39$670.29$4,051.0054.5×
healthsmart1748$117.98$913.90$1,506.8912.8×
the health plan1842$72.93$639.76$1,240.9717.0×
summacare1639$72.93$394.75$2,300.0031.5×
First Health1838$167.31$1,389.88$1,420.138.5×
ohio preferred network1636$160.88$1,265.40$1,539.909.6×
Multiplan1734$654.30$1,539.90$1,684.172.6×
amish church fund and workers aid plan1530$334.42$787.06$787.062.4×
private healthcare system1530$625.22$1,471.46$1,471.462.4×
buckeye plain ministries1530$334.42$787.06$787.062.4×
amish aid community plan1530$334.42$787.06$787.062.4×
century health network1530$617.95$1,454.35$1,454.352.4×
christian healthcare ministries1530$363.50$855.50$855.502.4×
clarity1530$654.30$821.28$984.201.5×
configurenet1530$654.30$1,539.90$1,539.902.4×
fortified provider network1530$654.30$1,539.90$1,539.902.4×
Humana1930$73.66$394.75$1,684.1722.9×
immergrun1530$363.50$855.50$855.502.4×
beech street1530$581.60$1,368.80$1,539.902.6×
aultcare1628$72.93$773.30$1,377.0018.9×
Molina1823$72.93$394.75$799.5411.0×
Medicare223$118.44$241.18$664.475.6×
medical mutual traditional/health ohio1122$508.90$984.20$1,197.702.4×
CareSource1620$74.39$710.55$767.2510.3×
sunrise plan communities816$687.50$855.50$855.501.2×
jp farley1416$646.25$795.77$843.601.3×
Ambetter1516$495.00$710.55$787.361.6×
primetime health plan1515$275.00$394.75$426.251.6×
paramount1515$283.25$406.59$439.041.6×
medical mutual115$72.93$251.60$675.989.3×
perennial advantage of ohio1515$288.75$414.49$447.561.5×
WellCare1515$275.00$394.75$426.251.6×
valor health plans1515$288.75$414.49$447.561.5×
Medicaid214$76.68$206.46$817.0010.7×
university health employee plan (contigo)1314$703.00$1,248.00$1,248.001.8×
devoted health1414$275.00$394.75$394.751.4×
sunrise plain communities714$363.50$703.00$855.502.4×
health ohio network48$815.48$815.48$942.021.2×
enterprise group planning48$787.36$787.36$984.201.3×
Blue Cross Blue Shield26$191.74$677.86$695.243.6×
transplants-case rates [5750]16$241.18$241.18$241.181.0×
ohio ppo connect24$1,240.97$1,240.97$1,240.971.0×
buckeye13$74.39$128.32$321.144.3×
priority health12$166.80$321.28$475.752.9×
buckeye community health plan22$405.76$566.31$726.851.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Regional HospitalsRichmond HeightsOH37$1,711.00$1,283.25$394.75$958.16$2,300.00
Uh Geauga Medical CenterChardonOH37$1,711.00$1,283.25$394.75$958.16$2,300.00
Uh Ahuja Medical CenterBeachwoodOH38$1,711.00$1,283.25$394.75$958.16$2,300.00
Rainbow Babies & Childrens HospitalClevelandOH40$1,406.00$1,054.50$394.75$906.87$1,265.40
Uh Geneva Medical CenterGenevaOH37$1,375.00$1,031.25$275.00$900.63$2,405.00
Uh Conneaut Medical CenterConneautOH38$1,375.00$1,031.25$426.25$900.63$2,300.00
Uh Elyria Medical CenterElyriaOH38$1,711.00$1,283.25$394.75$855.50$2,590.00
Uh Parma Medical CenterParmaOH37$1,711.00$1,283.25$394.75$855.50$1,539.90
Uh Portage Medical CenterRavennaOH37$1,711.00$1,283.25$394.75$855.50$1,877.00
Lake Hospital SystemConcordOH36$1,711.00$1,283.25$394.75$855.50$2,300.00
Uh St. John Medical CenterWestlakeOH38$1,711.00$1,283.25$394.75$855.50$2,300.00
University Hospitals Rehab HospitalBeachwoodOH40$1,406.00$1,054.50$394.75$787.36$4,051.00
Uh Cleveland Medical CenterClevelandOH40$1,406.00$1,054.50$394.75$787.36$4,051.00
University Hospitals Avon Rehab HospAvonOH40$1,406.00$1,054.50$394.75$787.36$4,051.00
Uh Samaritan Medical CenterAshlandOH38$727.00$545.25$257.36$620.86$1,248.00
Twin City HospitalDennisonOH16$926.00$459.30$71.04$283.42$946.40
Adams County Regional Medical CenterSeamanOH6$817.00$490.20$105.00$241.18$817.00
St. Lukes HospitalMaumeeOH14$899.00$449.50$76.68$232.92$789.06
Adena Regional Medical CenterChillicotheOH21$1,772.81$886.41$405.76$1,252.49$3,251.00
Fayette County Memorial HospWashington Court HouseOH18$1,772.81$886.41$602.76$1,175.37$2,003.28
Barnesville HospitalBarnesvilleOH0$1,177.00$588.50
Mccullough-Hyde Memorial HospitalOxfordOH0$2,330.81$1,748.11
Wayne Hospital CompanyGreenvilleOH0$1,829.00$1,371.75
Bethesda HospitalCincinnatiOH0$2,691.00$2,018.25
Wilson Memorial HospitalSidneyOH0$1,134.00$567.00
Good Samaritan HospitalCincinnatiOH0$2,691.00$2,018.25
Trumbull Memorial HospitalWarrenOH0$1,250.00$1,000.00
Henry County Hospital (Cah)NapoleonOH0$1,105.00$828.75
Harrison Community HospitalCadizOH0$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.