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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$367.19
Median
$402.24
Max
$1,223.8
Range multiplier
3.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield320$187.89$1,000.74$2,303.0312.3×
UnitedHealthcare312$78.45$1,260.12$5,229.1866.7×
Aetna37$116.15$489.39$2,811.624.2×
Humana36$125.65$425.86$539.664.3×
Medicare Advantage14$128$344.11$560.214.4×
Kaiser Permanente24$377.1$979.82$1,768.584.7×
the health plan13$93.17$191.8$367.193.9×
Cigna23$377.1$1,373.37$1,475.13.9×
Molina13$82.55$234.86$1,156.4114.0×
community health network of wa [1055]12$217.25$584.04$950.824.4×
mva state farm [1028]12$402.24$987.84$1,573.443.9×
asuris truadvantage [4011]12$128$344.11$560.214.4×
first choice [8009]12$377.1$926.1$1,475.13.9×
mega life [8005]12$377.1$926.1$1,475.13.9×
mid west natl life [8006]12$377.1$926.1$1,475.13.9×
First Health12$377.1$926.1$1,475.13.9×
ameriben [8000]12$377.1$926.1$1,475.13.9×
wellpoint [6009]12$163.41$401.31$639.213.9×
mutual of omaha [8007]12$377.1$926.1$1,475.13.9×
chp advantage [4001]12$146.79$394.62$642.454.4×
mva progressive [1027]12$402.24$987.84$1,573.443.9×
pacific source administrators [8010]12$377.1$926.1$1,475.13.9×
pacific source [8008]12$377.1$926.1$1,475.13.9×
Ambetter12$314.8$813$1,311.24.2×
first choice generic [8999]12$377.1$926.1$1,475.13.9×
midwest [150121]11$1,223.8$1,223.8$1,223.81.0×
Multiplan11$1,573.44$1,573.44$1,573.441.0×
mva farmers [1026]11$1,573.44$1,573.44$1,573.441.0×
nw administrators [150123]11$1,223.8$1,223.8$1,223.81.0×
operating engineers [150125]11$1,223.8$1,223.8$1,223.81.0×
optum ccn region 111$367.19$367.19$367.191.0×
optum ccn region 211$367.19$367.19$367.191.0×
painters trust [150126]11$1,223.8$1,223.8$1,223.81.0×
puget sound electric [150131]11$1,223.8$1,223.8$1,223.81.0×
seattle plumb and pipe [150132]11$1,223.8$1,223.8$1,223.81.0×
the health plan hmo11$2,683.8$2,683.8$2,683.81.0×
trusteed plan [150101]11$1,223.8$1,223.8$1,223.81.0×
umr11$2,524.05$2,524.05$2,524.051.0×
washington bakers trust [150102]11$1,223.8$1,223.8$1,223.81.0×
washington employers trust [150103]11$1,223.8$1,223.8$1,223.81.0×
washington state health ins pool [150104]11$1,223.8$1,223.8$1,223.81.0×
welfare pension administration services [150105]11$1,223.8$1,223.8$1,223.81.0×
WellCare11$367.19$367.19$367.191.0×
zenith admin [150106]11$1,223.8$1,223.8$1,223.81.0×
zzjohn alden [150117]11$1,223.8$1,223.8$1,223.81.0×
zzprincipal financial group [150128]11$1,223.8$1,223.8$1,223.81.0×
zzprovidence [150129]11$1,223.8$1,223.8$1,223.81.0×
Anthem BCBS11$367.19$367.19$367.191.0×
benefit md [150113]11$1,223.8$1,223.8$1,223.81.0×
carpenters trust [150122]11$1,223.8$1,223.8$1,223.81.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WENATCHEE VALLEY HOSPITALWENATCHEEWA29$1,639$1,475.1$78.45$402.24$1,573.44
EAST ADAMS RURAL HOSPITALRITZVILLEWA11$3,195$1,917$93.17$367.19$2,811.6
VALLEY MEDICAL CENTERRENTONWA41$13,109$9,176.3$126.57$1,223.8$5,229.18
KFH - WASHINGTONSEATTLEWA0$2,361$1,888.8

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.