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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in DC

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Hospitals
2
Min
$1,154.26
Median
$1,528.83
Max
$1,528.83
Range multiplier
1.3×

By payer (15 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Kaiser Permanente28$300.65$1,191.66$2,016.956.7×
UnitedHealthcare26$741.33$1,625.79$2,121.402.9×
Blue Cross Blue Shield26$719.74$1,280.71$1,456.032.0×
Aetna24$741.33$1,619.17$1,846.062.5×
Cigna24$755.72$1,652.55$2,029.972.7×
VA Health22$719.74$1,087.88$1,456.032.0×
amerihealth negotiated charge22$868.91$1,079.29$1,289.671.5×
hscsn negotiated charge22$1,988.81$2,347.05$2,705.301.4×
medstar family choice district of columbia negotiated charge22$868.91$1,079.29$1,289.671.5×
medstar family choice maryland negotiated charge22$1,037.85$1,246.34$1,454.821.4×
Multiplan22$2,253.99$2,569.82$2,885.651.3×
pfc negotiated charge22$1,723.64$2,034.11$2,344.591.4×
TRICARE22$1,988.81$2,347.05$2,705.301.4×
johns hopkins healthcare negotiated charge11$1,723.64$1,723.64$1,723.641.0×
choicecare negotiated charge11$3,246.35$3,246.35$3,246.351.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
National Rehabilitation HospitalWashingtonDC14$300.65$1,528.83$2,253.99
Washington Hospital CenterWashingtonDC14$719.74$1,154.26$3,246.35

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.