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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$1,898
Median
$2,406.98
Max
$3,608.15
Range multiplier
1.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield848$572.69$2,538.95$4,829.378.4×
Aetna845$556.01$2,150.24$4,163.257.5×
Cigna830$628.54$2,352.4$3,225.135.1×
UnitedHealthcare823$556.01$1,860$4,124.397.4×
healthlink [225]721$1,403.59$2,255.19$4,191.013.0×
cox health systems insurance company [220]721$1,881.1$2,210.38$4,107.742.2×
allied benefits [498]721$1,678.52$2,219.34$4,124.392.5×
Humana817$556.01$663.11$3,693.716.6×
phcs [244]714$2,170.5$2,389.6$4,440.82.0×
unicare [568]714$1,881.1$2,255.19$4,191.012.2×
med-pay [480]714$1,881.1$2,240.25$4,163.252.2×
consociate [478]714$1,568.55$1,618.95$3,008.641.9×
healthscope benefits [258]713$1,727$1,898$3,966.42.3×
First Health88$2,150.24$2,617.46$4,124.391.9×
Multiplan88$1,501.22$2,240.25$4,163.252.8×
sarah bush lincoln [636]78$1,568.55$1,672.98$3,008.641.9×
healthcare sol mercy [609]77$2,170.5$2,240.25$4,163.251.9×
health systems inc [620]77$2,170.5$2,240.25$4,163.251.9×
health alliance [224]77$1,591.7$1,642.85$3,470.62.2×
priority health [648]77$2,031.59$2,052.07$3,225.131.6×
preferred health professionals [561]77$2,184.97$2,255.19$4,191.011.9×
nalc health benefit plan [242]77$2,031.59$2,052.07$3,225.131.6×
apwu health plan [216]77$2,031.59$2,052.07$3,225.131.6×
beechstreet [551]77$2,170.5$2,240.25$4,163.251.9×
medica [662]77$615.43$628.54$703.141.1×
medica [661]77$2,315.2$2,389.6$4,440.81.9×
mail handlers [495]77$1,745.08$1,801.16$3,330.61.9×
coresource [497]77$1,745.08$1,801.16$3,330.61.9×
hope trust [806]77$1,678.52$1,732.46$3,219.581.9×
cox health [757]77$615.43$628.54$6901.1×
detego health [868]77$2,170.5$2,240.25$4,163.251.9×
hfn [563]77$2,315.2$2,389.6$4,440.81.9×
essence healthcare [221]77$586.12$628.54$657.141.1×
fmh benefit service inc [222]77$1,745.08$1,801.16$3,330.61.9×
devoted health plan [847]66$626.32$649.67$721.361.2×
mercy behavioral health [573]33$1,011$1,011$1,0111.0×
Medicare23$556.01$567.13$628.541.1×
Workers Comp13$556.01$3,432$4,347.27.8×
php [503200005]13$2,745.6$2,772.14$3,381.661.2×
alt wppa [5032000964]12$1,112.02$1,942.08$2,772.142.5×
6 degrees health [503999050]12$1,084.21$1,237.12$1,390.021.3×
centivo [5032000982]12$1,056.41$1,056.41$1,056.411.0×
healthlink [503200007]12$2,772.14$3,076.9$3,381.661.2×
mh magellan health services [270]22$5,551$5,551$5,5511.0×
gallagher bassett [5032000103]11$3,432$3,432$3,4321.0×
fort hays state student athletes [5032000960]11$1,167.62$1,167.62$1,167.621.0×
employers health network [503999025]11$4,118.4$4,118.4$4,118.41.0×
accarent health [503999034]11$2,288$2,288$2,2881.0×
Empire BCBS11$3,512.08$3,512.08$3,512.081.0×
devoted [503200068]11$556.01$556.01$556.011.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PROGRESS WEST HOSPITALOFALLONMO36$5,551$3,330.6$596.49$3,608.15$5,551
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$5,551$3,330.6$596.49$3,469.38$5,551
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$4,958$2,974.8$586.12$3,227.66$4,214.3
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO59$4,576$915.2$556.01$2,406.98$4,347.2
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$2,987$1,792.2$638.84$2,007.27$2,598.69
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO36$2,987$1,792.2$657.14$1,974.41$2,598.69
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO36$2,987$1,792.2$657.14$1,974.41$2,598.69
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO37$2,894$1,736.4$628.54$1,898$2,535.14
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0$3,322.48$1,059.87
COX-MONETT HOSPITALMONETTMO0$3,322.48$1,013.36
COX MEDICAL CENTER BRANSONBRANSONMO0$3,322.48$754.2
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0$4,063.74$2,235.06
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$2,776.25$694.06
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0$8,942.79$4,292.54
COXHEALTHSPRINGFIELDMO0$11,591$2,920.91
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$2,060$1,030

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.