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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$386.40
Median
$612.23
Max
$1,159.00
Range multiplier
3.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield836$313.17$1,419.28$3,735.0011.9×
UnitedHealthcare829$1.00$558.93$4,977.004977.0×
Aetna825$330.83$907.12$5,318.0016.1×
Cigna820$1.00$944.70$3,509.463509.5×
Humana815$152.79$564.68$2,410.6215.8×
WellCare713$368.00$615.42$1,136.703.1×
CareSource510$13.49$588.90$1,040.2077.1×
First Health39$349.60$1,160.00$3,819.0010.9×
Medicaid17$1.00$209.05$686.92686.9×
Health Net16$152.79$510.73$3,899.4025.5×
Ambetter34$671.06$843.25$1,015.441.5×
banner health13$152.79$368.00$653.454.3×
devoted health23$390.08$612.23$692.661.8×
Oscar Health23$772.72$984.67$984.671.3×
peach state13$12.84$612.23$713.2855.6×
secure health op rate22$1,697.00$1,697.00$1,697.001.0×
alliant health plan22$747.04$747.04$747.041.0×
alliant op rate22$1,751.00$1,751.00$1,751.001.0×
amerigroup community care22$420.00$444.95$469.901.1×
amerigroup op rate22$533.49$638.75$744.001.4×
arizona medical network12$368.00$510.73$653.451.8×
beech street op rate22$3,150.00$3,150.00$3,150.001.0×
blue mcr replacement12$615.42$615.42$615.421.0×
bridgeway health solutions12$368.00$510.73$653.451.8×
dodge cty op rate22$840.00$840.00$840.001.0×
facility billing - op12$615.42$615.42$615.421.0×
health choice pathway12$368.00$510.73$653.451.8×
health management network12$368.00$510.73$653.451.8×
healthspring mcr replacement12$621.57$624.65$627.731.0×
imperial insurance12$386.40$536.27$686.131.8×
Medicare Advantage12$615.42$615.42$615.421.0×
occunet12$1,138.53$1,261.61$1,384.691.2×
phcs op rate22$3,220.00$3,220.00$3,220.001.0×
riverwood behavioral health12$594.40$668.70$743.001.3×
rural arizona network12$368.00$510.73$653.451.8×
smarthealth12$861.59$861.59$861.591.0×
sonder health plan12$624.12$624.12$624.121.0×
united mine workers of america12$368.00$510.73$653.451.8×
mercy care11$160.43$160.43$160.431.0×
Multiplan11$594.40$594.40$594.401.0×
naphcare11$921.32$921.32$921.321.0×
novanet11$594.40$594.40$594.401.0×
americas choice provider network11$594.40$594.40$594.401.0×
centurion11$891.60$891.60$891.601.0×
care 1st11$152.79$152.79$152.791.0×
peach state health plan op rate11$597.00$597.00$597.001.0×
peach state hp op rate11$752.97$752.97$752.971.0×
arizona complete health11$152.79$152.79$152.791.0×
georgia workers’ compensation11$594.40$594.40$594.401.0×
health choice11$160.43$160.43$160.431.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Marys Sacred Heart HospitalLavoniaGA14$11,795$4,718.00$615.42$861.59$5,318.00
Southern Regional Medical CenterRiverdaleGA27$3,598.62$594.00$12.84$612.23$3,598.62
Union General HospitalBlairsvilleGA9$1,067.20$533.60$171.38$596.64$907.12
Chatuge Regional HospitalHiwasseeGA9$1,067.20$533.60$234.78$565.63$907.12
Dodge County HospitalEastmanGA6$1,287.58$1.00$526.76$2,158.00
West Central Ga Regional HospitalColumbusGA22$4,020.00$2,982.84$152.79$386.40$3,899.40
Perry HospitalPerryGA16$1,078.49$479.33$1,159.00$3,220.00
Houston Medical CenterWarner RobinsGA16$1,078.49$479.33$1,159.00$3,220.00
Southwell MedicalAdelGA0$1,551.00$775.50

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.