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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in AL

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Hospitals
26
Min
$518.39
Median
$595.00
Max
$1,362.18
Range multiplier
2.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna1062$40.00$1,479.00$5,592.00139.8×
Blue Cross Blue Shield1057$113.46$995.00$3,952.0034.8×
Aetna1348$72.00$812.49$10,206141.8×
Humana1145$46.60$639.11$4,403.4394.5×
UnitedHealthcare1236$116.30$630.34$4,977.0042.8×
viva519$113.46$513.26$4,892.7043.1×
Ambetter816$226.92$1,030.94$1,169.305.2×
Medicare614$113.46$542.98$658.285.8×
WellCare612$124.81$597.27$615.424.9×
devoted59$116.87$528.66$559.264.8×
smarthealth36$861.59$861.59$894.751.0×
occunet25$1,138.53$1,384.69$4,714.384.1×
Molina35$658.28$1,138.53$2,179.003.3×
Bright Health34$798.89$1,042.70$2,660.003.3×
Oscar Health24$984.67$984.67$984.671.0×
university of utah14$31.80$36.60$39.901.3×
Medicare Advantage24$615.42$621.58$627.731.0×
health spring13$153.00$471.00$595.003.9×
bc advantage mcr replacement12$615.42$615.42$615.421.0×
actin care12$990.62$990.62$990.621.0×
employer direct healthcare12$1,076.98$1,076.98$1,076.981.0×
90 degree benefits12$1,107.76$1,107.76$1,107.761.0×
motivhealth12$5,195.00$5,195.00$5,195.001.0×
Multiplan22$67.00$699.46$1,331.9119.9×
blue mcr replacement12$615.42$615.42$615.421.0×
facility billing - op12$615.42$615.42$615.421.0×
pace place12$615.42$615.42$615.421.0×
pehp12$27.60$31.55$35.501.3×
research study encore borland-groover12$615.42$615.42$615.421.0×
careplus mcr replacement12$627.73$627.73$627.731.0×
Self-Pay (Cash)12$639.11$639.11$639.111.0×
aarp12$607.15$607.15$607.151.0×
VA Health12$615.42$615.42$615.421.0×
healthspring mcr replacement12$621.57$624.65$627.731.0×
viva health22$595.00$812.10$1,029.201.7×
avmed exchange12$1,107.76$1,107.76$1,107.761.0×
meridian11$588.24$588.24$588.241.0×
angle insurance11$48.00$48.00$48.001.0×
behavioral hlth sys [100258]11$1,652.37$1,652.37$1,652.371.0×
blue advantage11$1,250.04$1,250.04$1,250.041.0×
claritev [100309]11$1,615.65$1,615.65$1,615.651.0×
clover health11$625.00$625.00$625.001.0×
community hospice11$615.42$615.42$615.421.0×
county care11$588.24$588.24$588.241.0×
devoted health11$613.00$613.00$613.001.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
elap11$21.18$21.18$21.181.0×
evernorth bh11$70.00$70.00$70.001.0×
First Health11$1,210.82$1,210.82$1,210.821.0×
harmony health plan11$588.24$588.24$588.241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Vincents EastBirminghamAL23$3,771.50$1,395.46$434.53$861.59$5,592.00
Providence HospitalMobileAL14$11,795$4,718.00$615.42$861.59$5,318.00
St. Vincents St. ClairPell CityAL18$285.89$639.11$1,131.22
Coosa Valley Medical CenterSylacaugaAL8$1,347.00$323.00$153.00$595.00$1,347.00
Decatur Morgan - Decatur CampusDecaturAL10$9,785.40$9,785.40$113.46$578.27$6,360.51
Huntsville HospitalHuntsvilleAL10$9,785.40$9,785.40$113.46$578.27$6,360.51
Helen Keller HospitalSheffieldAL10$9,785.40$9,785.40$113.46$578.27$6,360.51
Athens LimestoneAthensAL10$9,785.40$9,785.40$113.46$578.27$6,360.51
Cullman RegionalCullmanAL4$1,135.13$738.00$560.53$560.53$560.53
Marshall Medical Centers SouthBoazAL7$1,479.00$1,479.00$321.75$518.39$1,479.00
The Childrens Hospital Of AlabamaBirminghamAL18$1,835.97$789.47$530.04$1,362.18$1,835.97
Washington County HospitalChatomAL4$1,562.55$54.17$890.65$1,210.98$1,406.29
Mountain View HospitalGadsdenAL21$7,541.48$7,541.48$21.18$1,024.97$10,206
Crestwood Medical CenterHuntsvilleAL0$7,357.21$1,545.01
Gadsden Regional Medical CenterGadsdenAL0$14,308$2,575.35
Flowers HospitalDothanAL0$4,121.28$1,236.38
Grandview Medical CenterBirminghamAL0$4,289.00$1,029.36
Southeast Health Medical CenterDothanAL0$1,933.19$773.28
Springhill Memorial HospitalMobileAL0$1,048.16$890.94
Red Bay HospitalRed BayAL0$7,536.00$4,220.16
Tanner Medical Center Alabama Inc.WedoweeAL0$1,120.00$448.00
Noland Hospital Montgomery IiMontgomeryAL0$684.77
Noland Hospital Birmingham IiBirminghamAL0$3,179.55
Noland Hospital Dothan IiDothanAL0$3,455.35
Noland Hospital Anniston IiAnnistonAL0$684.77
Noland Hospital Tuscaloosa IiTuscaloosaAL0$1,458.87

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.