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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in FL

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Hospitals
4
Min
$633.88
Median
$1,839.78
Max
$1,839.78
Range multiplier
2.9×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28$478.36$1,102.76$4,91410.3×
Blue Cross Blue Shield17$3,135$3,983$4,8771.6×
Aetna25$511.84$633.88$5,99411.7×
Humana25$497.49$633.88$1,903.83.8×
Cigna23$511.84$1,256.51$1,4042.7×
Multiplan33$1,580.15$1,962.43$1,962.431.2×
Medicare23$502.27$615.42$615.421.2×
aarp mcr hmo12$615.42$615.42$615.421.0×
Ambetter12$1,015.44$1,015.44$1,015.441.0×
america's choice provider network22$1,717.13$1,717.13$1,717.131.0×
blue mcr replacement12$615.42$615.42$615.421.0×
facility billing - op12$615.42$615.42$615.421.0×
healthspring mcr replacement12$621.57$624.65$627.731.0×
Medicaid12$1,142.28$1,523.04$1,903.81.7×
occunet12$1,138.53$1,261.61$1,384.691.2×
Oscar Health12$984.67$984.67$984.671.0×
prime health services22$2,085.08$2,085.08$2,085.081.0×
quik trip22$1,839.78$1,839.78$1,839.781.0×
smarthealth12$621.57$621.57$621.571.0×
triwest12$615.42$615.42$615.421.0×
usa managed care organization22$1,839.78$1,839.78$1,839.781.0×
velocity provider ppo network22$1,839.78$1,839.78$1,839.781.0×
WellCare12$615.42$615.42$615.421.0×
allwell op rate11$502.27$502.27$502.271.0×
bc network blue op rate11$1,523.04$1,523.04$1,523.041.0×
hygeia op rate11$1,675.34$1,675.34$1,675.341.0×
southcare op rate11$1,751.5$1,751.5$1,751.51.0×
bc health options op rate11$1,561.12$1,561.12$1,561.121.0×
bc blue select op rate11$1,332.66$1,332.66$1,332.661.0×
sunshine state health plan op rate11$1,903.8$1,903.8$1,903.81.0×
wellpath op rate11$789.29$789.29$789.291.0×
phcs op rate11$1,580.15$1,580.15$1,580.151.0×
preferred care partners op rate11$502.27$502.27$502.271.0×
prestige health choice op rate11$1,903.8$1,903.8$1,903.81.0×
ultimate health plan op rate11$511.84$511.84$511.841.0×
unicare op rate11$1,523.04$1,523.04$1,523.041.0×
beechstreet commercial op rate11$1,332.66$1,332.66$1,332.661.0×
bc traditional op rate11$1,903.8$1,903.8$1,903.81.0×
select specialty hospital op rate11$502.27$502.27$502.271.0×
care plus health plans op rate11$497.49$497.49$497.491.0×
bc ppo op rate11$1,903.8$1,903.8$1,903.81.0×
clear health alliance op rate11$1,903.8$1,903.8$1,903.81.0×
devoted health op rate11$502.27$502.27$502.271.0×
employers health network op rate11$1,523$1,523$1,5231.0×
seven corners op rate11$956.71$956.71$956.711.0×
First Health11$1,332.66$1,332.66$1,332.661.0×
freedom health mcr op rate11$502.27$502.27$502.271.0×
freedom pointe op rate11$478.36$478.36$478.361.0×
hcra op rate11$41.06$41.06$41.061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$4,424$1,769.6$615.42$633.88$5,994
PAM HEALTH REHAB HOSPITAL OF TAVARESTAVARESFL6$2,453.04$2,453.04$1,717.13$1,839.78$2,085.08
PAM HEALTH REHAB HOSPITAL OF JUPITERJUPITERFL6$2,453.04$2,453.04$1,717.13$1,839.78$2,085.08
THE VILLAGES TRI-COUNTY MEDICAL CENTTHE VILLAGESFL33$1,142.28$41.06$1,256.51$1,903.8

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.