▸ Compare · PriceTransparency
ED visit level 5
CPT 99285 · negotiated-rate distribution across hospitals in KY
Hospitals
15
Min
$566.05
Median
$997.12
Max
$1,412.64
Range multiplier
2.5×
By payer (39 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 13 | 138 | $116.04 | $1,535.78 | $4,765.81 | 41.1× |
| Aetna | 14 | 115 | $116.04 | $1,091.20 | $4,905.90 | 42.3× |
| Humana | 14 | 70 | $164.50 | $611.07 | $2,318.80 | 14.1× |
| UnitedHealthcare | 13 | 64 | $116.04 | $1,379.36 | $4,033.74 | 34.8× |
| WellCare | 14 | 60 | $116.04 | $605.07 | $1,288.00 | 11.1× |
| Molina | 12 | 36 | $279.60 | $652.85 | $1,552.36 | 5.6× |
| caresoure kentucky | 11 | 33 | $1,109.40 | $2,446.60 | $3,270.60 | 2.9× |
| umr | 11 | 33 | $824.65 | $2,335.36 | $4,033.74 | 4.9× |
| optum ccn region 1 | 12 | 23 | $168.41 | $498.26 | $1,052.02 | 6.2× |
| optum ccn region 2 | 12 | 23 | $168.41 | $498.26 | $1,052.02 | 6.2× |
| Cigna | 2 | 7 | $164.50 | $1,146.23 | $1,386.87 | 8.4× |
| medcost | 1 | 6 | $577.07 | $939.38 | $1,762.82 | 3.1× |
| Multiplan | 2 | 5 | $282.20 | $1,564.28 | $2,371.50 | 8.4× |
| Blue Cross Blue Shield | 1 | 4 | $561.26 | $809.48 | $902.75 | 1.6× |
| First Health | 1 | 3 | $282.20 | $1,564.28 | $1,564.28 | 5.5× |
| center care | 1 | 3 | $250.20 | $1,386.87 | $1,386.87 | 5.5× |
| commonwealth health alliance | 1 | 3 | $298.80 | $1,656.30 | $1,656.30 | 5.5× |
| national provider network | 1 | 2 | $2,371.50 | $2,371.50 | $2,371.50 | 1.0× |
| oscar | 1 | 2 | $843.20 | $1,001.30 | $1,159.40 | 1.4× |
| private healthcare systems | 1 | 2 | $2,160.70 | $2,160.70 | $2,160.70 | 1.0× |
| the health plan | 1 | 2 | $354.47 | $467.39 | $580.30 | 1.6× |
| amerigroup | 1 | 2 | $164.50 | $365.28 | $566.05 | 3.4× |
| alliance coal | 1 | 2 | $197.40 | $523.24 | $849.08 | 4.3× |
| va community care network | 1 | 2 | $164.50 | $365.28 | $566.05 | 3.4× |
| amerihealth | 1 | 2 | $496.43 | $610.27 | $724.10 | 1.5× |
| beechstreet | 1 | 2 | $2,318.80 | $2,318.80 | $2,318.80 | 1.0× |
| directnet | 1 | 2 | $1,557.29 | $1,557.29 | $1,557.29 | 1.0× |
| healthgram | 1 | 2 | $2,108.00 | $2,108.00 | $2,108.00 | 1.0× |
| healthgram lexington home brands | 1 | 2 | $1,897.20 | $1,897.20 | $1,897.20 | 1.0× |
| CareSource | 1 | 2 | $164.50 | $464.34 | $764.17 | 4.6× |
| alliance | 1 | 1 | $506.45 | $506.45 | $506.45 | 1.0× |
| beacon health | 1 | 1 | $116.04 | $116.04 | $116.04 | 1.0× |
| carolina complete | 1 | 1 | $496.43 | $496.43 | $496.43 | 1.0× |
| christian county health dept-cchd | 1 | 1 | $116.04 | $116.04 | $116.04 | 1.0× |
| healthy blue | 1 | 1 | $496.43 | $496.43 | $496.43 | 1.0× |
| Ambetter | 1 | 1 | $756.25 | $756.25 | $756.25 | 1.0× |
| partners | 1 | 1 | $496.43 | $496.43 | $496.43 | 1.0× |
| trillium | 1 | 1 | $511.45 | $511.45 | $511.45 | 1.0× |
| vaya | 1 | 1 | $501.44 | $501.44 | $501.44 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Harlan Arh | Harlan | KY | 10 | $5,248.00 | $3,148.80 | $313.28 | $997.12 | $4,880.64 |
| Barbourville Arh Hospital | Barbourville | KY | 10 | $4,960.00 | $2,976.00 | $314.33 | $847.42 | $4,364.80 |
| Mcdowell Arh | Mcdowell | KY | 10 | $4,960.00 | $2,976.00 | $314.33 | $843.20 | $4,364.80 |
| Our Lady Of The Way | Martin | KY | 8 | $4,960.00 | $2,976.00 | $116.04 | $767.86 | $4,364.80 |
| Tug Valley Arh | South Williamson | KY | 11 | $5,007.00 | $3,004.20 | $285.80 | $766.07 | $4,506.30 |
| Mary Breckinridge Hospital | Hyden | KY | 10 | $4,960.00 | $2,976.00 | $277.35 | $751.44 | $4,364.80 |
| Paintsville Arh Hospital | Paintsville | KY | 9 | $5,248.00 | $3,148.80 | $279.60 | $749.41 | $4,588.33 |
| Jennie Stuart Medical Center | Hopkinsville | KY | 16 | $1,840.33 | $570.51 | $116.04 | $566.05 | $1,752.91 |
| Whitesburg Arh | Whitesburg | KY | 10 | $4,960.00 | $2,976.00 | $301.76 | $1,412.64 | $4,612.80 |
| Hazard Arh | Hazard | KY | 10 | $5,451.00 | $3,270.60 | $365.94 | $1,223.20 | $4,905.90 |
| Highlands Regional Medical Center | Prestonsburg | KY | 10 | $5,248.00 | $3,148.80 | $457.60 | $1,178.17 | $4,588.33 |
| Baptist Health Lexington | Lexington | KY | 23 | $2,635.00 | $1,317.50 | $496.43 | $1,163.36 | $2,434.74 |
| Middlesboro Arh | Middlesboro | KY | 10 | $5,152.00 | $3,091.20 | $352.51 | $1,152.00 | $4,791.36 |
| Morgan Co. Arh | West Liberty | KY | 10 | $4,960.00 | $2,976.00 | $388.29 | $1,046.81 | $4,364.80 |
| Spring View Hospital | Lebanon | KY | 0 | $4,031.39 | $1,612.56 | — | — | — |
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.