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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$938.86
Median
$1,287.19
Max
$5,381.00
Range multiplier
5.7×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$371.52$489.93$915.002.5×
UnitedHealthcare539$111.68$1,300.46$5,381.0048.2×
Blue Cross Blue Shield432$130.30$503.26$5,381.0041.3×
govt employees health assn [3081090]424$875.82$1,300.46$1,300.461.5×
medica (commercial) 94265 [3081118]424$1,101.41$1,300.46$1,300.461.2×
Cigna424$1,273.92$1,313.73$1,313.731.0×
healthpartners [3081368]421$452.00$1,300.46$1,300.462.9×
risk admin svs [3081167]416$196.00$628.80$1,061.605.4×
Meritain Health416$1,273.92$1,313.73$1,313.731.0×
national telephone cooperative assn 52103 [3081149]416$875.82$1,300.46$1,300.461.5×
Aetna412$1,194.30$1,227.48$1,260.651.1×
Humana510$117.26$1,327.00$5,381.0045.9×
tlc advantage llc [3081189]59$1,154.49$1,247.38$1,298.141.1×
midlands choice 47080 [3081136]48$1,273.92$1,313.73$1,313.731.0×
allied benefit systems inc [3081320]48$1,273.92$1,313.73$1,313.731.0×
avera health plans 46045 [3081018]48$975.35$1,287.19$1,287.191.3×
coresource 38225 [3081146]48$862.55$1,194.30$1,194.301.4×
employee benefit management 12x44 [3081079]48$1,127.95$1,194.30$1,194.301.1×
fedmed inc [3081283]48$1,260.65$1,287.19$1,287.191.0×
health partners sx009 [3081102]48$822.74$1,300.46$1,300.461.6×
key benefit administrators [3081332]48$1,273.92$1,313.73$1,313.731.0×
pacificsource health plans [3081333]48$1,127.95$1,194.30$1,194.301.1×
preferred one 41147 [3081160]48$1,273.92$1,313.73$1,313.731.0×
rocky mountain admin llc 83028 [3081168]48$1,061.60$1,194.30$1,194.301.1×
sanford health plan 91184 [3081174]48$1,194.30$1,287.19$1,287.191.1×
surest [3081369]48$875.82$1,300.46$1,300.461.5×
Medicare47$127.12$371.56$5,381.0042.3×
va ccn optum [3081339]44$111.68$371.56$490.994.4×
Multiplan24$1,194.30$1,240.75$1,287.191.1×
group and pension administrators inc [3081098]24$1,194.30$1,240.75$1,287.191.1×
va black hills health care system 12115 [3081206]44$111.68$371.56$490.994.4×
va black hills health care system 12115 [3081207]33$371.56$371.56$490.991.3×
VA Health33$371.56$371.56$490.991.3×
Health Net33$371.56$371.56$490.991.3×
triwest healthcare alliance [3081322]33$371.56$371.56$490.991.3×
minnesota health care programs 12k16 [3081295]12$402.08$402.08$402.081.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Rapid City HospitalRapid CitySD30$1,327.00$1,327.00$111.68$938.86$1,273.92
Monument Health Spearfish HospitalSpearfishSD5$1,381.00$1,381.00$1,298.14$5,381.00$5,381.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$1,327.00$1,327.00$111.68$1,287.19$1,327.00
Monument Health Sturgis RegionalSturgisSD33$1,327.00$1,327.00$127.12$1,287.19$1,327.00
Monument Health Custer HospitalCusterSD35$1,327.00$1,327.00$127.12$1,287.19$1,327.00

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.