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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in LA

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Hospitals
6
Min
$578.35
Median
$1,239.03
Max
$1,463
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna317$188.42$793.1$3,19717.0×
Blue Cross Blue Shield313$578.35$790.37$816.61.4×
First Health213$188.42$793.1$1,98010.5×
first choice health112$188.42$756.91$865.484.6×
Cigna311$320.32$868.56$1,7455.4×
student assurances110$462$1,540$1,5403.3×
Humana37$554.4$567.01$1,324.872.4×
UnitedHealthcare26$320.32$578.35$1,587.635.0×
Medicare16$567.01$572.68$578.351.0×
meritan health15$188.42$793.1$1,5408.2×
Medicare Advantage14$567.01$567.01$572.681.0×
amer contl ins14$188.42$756.91$865.484.6×
ins mgmnt admin13$1,540$1,540$1,5401.0×
TRICARE13$1,540$1,540$1,5401.0×
smarthealth13$793.81$793.81$1,9152.4×
trustmark health benefits13$1,540$1,540$1,5401.0×
avoyelles parish sheriff12$1,540$1,540$1,5401.0×
allied natl12$1,540$1,540$1,5401.0×
phcs12$1,540$1,540$1,5401.0×
aarp12$1,540$1,540$1,5401.0×
ins tpa12$1,540$1,540$1,5401.0×
core source12$1,540$1,540$1,5401.0×
ofc of grp bene12$790.37$790.37$790.371.0×
correct cr int hlt12$320.32$320.32$320.321.0×
coushatta hlth dept12$1,540$1,540$1,5401.0×
Anthem BCBS12$646.4$941.64$1,236.871.9×
avoy parish school board12$1,540$1,540$1,5401.0×
ebms12$1,540$1,540$1,5401.0×
federated ins12$1,540$1,540$1,5401.0×
feedom life12$1,540$1,540$1,5401.0×
physicians mutual12$1,540$1,540$1,5401.0×
amfirst12$1,540$1,540$1,5401.0×
admin concepts12$1,540$1,540$1,5401.0×
misc comm12$1,540$1,540$1,5401.0×
Medicaid12$320.32$320.32$320.321.0×
central states12$1,540$1,540$1,5401.0×
mcd ms12$352.35$352.35$352.351.0×
nalc12$1,540$1,540$1,5401.0×
manhattan life ins12$1,540$1,540$1,5401.0×
all state12$1,540$1,540$1,5401.0×
christus health plan12$1,540$1,540$1,5401.0×
medi share12$1,540$1,540$1,5401.0×
ccmsi12$1,540$1,540$1,5401.0×
mcd amerihealth caritas12$320.32$320.32$320.321.0×
guarantee trust12$1,540$1,540$1,5401.0×
gilsbar12$970.2$970.2$970.21.0×
mcd healthy blue12$320.32$320.32$320.321.0×
fox everette12$1,540$1,540$1,5401.0×
liberty health share12$1,540$1,540$1,5401.0×
fidelity standard life co12$1,540$1,540$1,5401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNIVERSITY MEDICAL CTR. AT NEW ORLEANEW ORLEANSLA2$3,230$710.6$381.06$816.6$816.6
BETHESDA REHABILITATION HOSPITAL INCBATON ROUGELA12$521.59$578.35$3,197
AVOYELLES HOSPITALMARKSVILLELA102$1,540$462$188.42$1,463$1,540
POINTE COUPEE GENERAL HOSPITALNEW ROADSLA11$1,394.6$1,255.14$627.57$1,239.03$1,324.87
OCHSNER LSU HEALTH SHREVEPORTSHREVEPORTLA0$2,232$624.96
OCHSNER EXTENDED CARE HOSPITALJEFFERSONLA0$2,119$784.03

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.