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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in MN

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Hospitals
32
Min
$467.40
Median
$1,073.75
Max
$1,407.73
Range multiplier
3.0×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11564$791.40$1,059.95$1,630.242.1×
health partners12296$117.69$922.44$2,152.3418.3×
medica13263$127.21$473.12$2,423.0019.0×
sanford health plan12230$157.19$1,039.96$2,193.5514.0×
security health plan11226$157.19$1,324.23$1,329.008.5×
First Health16221$533.50$1,448.60$10,46419.6×
Multiplan13211$607.05$1,501.60$2,193.553.6×
wisconsin physician services11204$1,367.10$1,589.92$1,594.801.2×
private healthcare systems11204$1,291.15$1,501.60$1,506.201.2×
Blue Cross Blue Shield20145$95.81$544.86$2,856.7729.8×
UnitedHealthcare20122$157.19$672.52$6,985.0044.4×
ucare1296$119.93$602.85$2,031.9216.9×
itasca medical care1144$117.68$364.47$616.975.2×
primewest1143$117.68$157.19$616.975.2×
south country health alliance936$117.68$364.47$610.285.2×
Medicaid932$4.93$499.52$2,368.62480.5×
optum426$127.36$463.36$1,010.047.9×
WellCare1122$157.19$374.63$616.973.9×
Medicare919$188.31$622.99$1,039.175.5×
hennepin health919$132.98$132.98$617.484.6×
Humana516$191.95$1,146.66$1,600.008.3×
Aetna212$673.78$1,200.18$1,204.961.8×
medica [900156]510$251.21$1,027.37$2,598.6710.3×
Cigna110$850.64$989.03$992.321.2×
emerging therapies110$972.16$1,130.31$1,134.081.2×
interlink110$1,139.25$1,324.59$1,329.001.2×
healthpartners [900713]59$479.83$1,111.25$2,567.555.4×
medica [1086]16$621.00$1,001.78$1,429.002.3×
commercial | sanford health plan | all plans25$467.40$1,008.90$2,019.704.3×
commercial | health partners | all plans25$340.56$932.44$1,086.023.2×
ucare [1148]14$620.20$638.81$1,134.221.8×
america's ppo [1010]12$951.58$981.95$1,012.321.1×
blue plus12$126.21$364.08$601.954.8×
hp12$596.50$986.75$1,377.002.3×
commercial | preferred one | ppo12$457.56$722.61$987.662.2×
ma wisconsin replacement [950271]22$578.40$591.70$604.991.0×
commercial | medica | all plans22$1,668.91$1,969.46$2,270.001.4×
commercial | preferred one | all other plans11$286.07$286.07$286.071.0×
healthpartners11$1,452.89$1,452.89$1,452.891.0×
health partners [1061]11$621.44$621.44$621.441.0×
phcs [1172]11$1,054.50$1,054.50$1,054.501.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Community Memorial HospitalCloquetMN1$1,377.00$922.59$596.50$986.75$1,377.00
Maple Grove HospitalMaple GroveMN12$1,406.00$740.96$494.63$673.78$1,512.65
Regions HospitalSt PaulMN7$13,952$3,627.52$240.48$664.00$10,464
Park Nicollet Methodist HospitalSt. Louis ParkMN8$3,612.00$939.12$362.97$663.61$2,709.00
St. Gabriels HospitalLittle FallsMN13$2,309.00$1,339.22$191.95$653.60$2,193.55
Lakeview MemorialStillwaterMN7$3,285.00$1,215.45$4.93$638.19$2,956.50
Johnson Memorial HospitalDawsonMN8$1,801.41$1,531.20$126.21$532.78$1,657.30
Olivia Hospital And ClinicsOliviaMN7$2,943.00$1,795.23$95.81$526.35$2,915.34
St. Josephs Area Health ServicesPark RapidsMN10$1,172.00$725.47$172.20$467.40$2,270.00
Grand Itasca Clinic And HospitalGrand RapidsMN15$1,772.00$753.10$117.68$1,407.73$1,790.07
Range Regional Health ServicesHibbingMN16$1,772.00$753.10$110.00$1,402.61$1,790.07
University Of Minnesota Medical CtrMinneapolisMN23$1,772.00$710.58$117.68$1,093.68$2,423.00
Fairview Lakes Regional Medical CtrWyomingMN17$1,772.00$710.58$117.68$1,085.08$2,423.00
Fairview Northland RegPrincetonMN18$1,772.00$710.58$117.68$1,084.39$2,423.00
M Health Fairview Bethesda HospitalSt PaulMN17$1,772.00$753.10$117.68$1,084.30$2,423.00
Healtheast St Josephs HospitalSt PaulMN17$1,772.00$753.10$117.68$1,084.30$2,423.00
Fairview Ridges HospitalBurnsvilleMN17$1,772.00$753.10$117.68$1,084.30$2,423.00
Healtheast St Johns HospitalMaplewoodMN17$1,772.00$753.10$117.68$1,084.30$2,423.00
Healtheast Woodwinds HospitalWoodburyMN17$1,772.00$753.10$117.68$1,084.30$2,423.00
Fairview Southdale HospitalEdinaMN18$1,772.00$710.58$117.68$1,073.75$2,423.00
Hutchinson Health CareHutchinsonMN8$3,413.00$1,569.98$296.92$1,025.04$6,985.00
Sanford Thief River FallsThief River FallsMN0$1,818.50$1,018.36
Cambridge Medical CenterCambridgeMN0$1,818.50$1,018.36
Buffalo HospitalBuffaloMN0$1,818.50$1,018.36
Allina Health Faribault Medical CtrFaribaultMN0$1,902.60$913.25
Owatonna HospitalOwatonnaMN0$1,818.50$1,018.36
Regina HospitalHastingsMN0$1,902.60$913.25
Abbott Northwestern HospitalMinneapolisMN0$1,902.60$913.25
New Ulm Medical CenterNew UlmMN0$1,818.50$1,018.36
St. Francis Regional Medical CenterShakopeeMN0$1,818.50$1,018.36
Mercy HospitalCoon RapidsMN0$1,902.60$913.25
United HospitalSaint PaulMN0$1,902.60$913.25

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.