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CPT 99285 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$1,898.00
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$2,352.40$3,225.135.1×
UnitedHealthcare823$556.01$1,860.00$4,124.397.4×
healthlink [225]721$1,403.59$2,255.19$4,191.013.0×
cox health systems insurance company [220]721$1,881.10$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$2,170.50$2,389.60$4,440.802.0×
unicare [568]714$1,881.10$2,255.19$4,191.012.2×
med-pay [480]714$1,881.10$2,240.25$4,163.252.2×
consociate [478]714$1,568.55$1,618.95$3,008.641.9×
healthscope benefits [258]713$1,727.00$1,898.00$3,966.402.3×
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$2,170.50$2,240.25$4,163.251.9×
health systems inc [620]77$2,170.50$2,240.25$4,163.251.9×
health alliance [224]77$1,591.70$1,642.85$3,470.602.2×
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$2,170.50$2,240.25$4,163.251.9×
medica [662]77$615.43$628.54$703.141.1×
medica [661]77$2,315.20$2,389.60$4,440.801.9×
mail handlers [495]77$1,745.08$1,801.16$3,330.601.9×
coresource [497]77$1,745.08$1,801.16$3,330.601.9×
hope trust [806]77$1,678.52$1,732.46$3,219.581.9×
cox health [757]77$615.43$628.54$690.001.1×
detego health [868]77$2,170.50$2,240.25$4,163.251.9×
hfn [563]77$2,315.20$2,389.60$4,440.801.9×
essence healthcare [221]77$586.12$628.54$657.141.1×
fmh benefit service inc [222]77$1,745.08$1,801.16$3,330.601.9×
devoted health plan [847]66$626.32$649.67$721.361.2×
mercy behavioral health [573]33$1,011.00$1,011.00$1,011.001.0×
Medicare23$556.01$567.13$628.541.1×
Workers Comp13$556.01$3,432.00$4,347.207.8×
php [503200005]13$2,745.60$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$3,076.90$3,381.661.2×
mh magellan health services [270]22$5,551.00$5,551.00$5,551.001.0×
gallagher bassett [5032000103]11$3,432.00$3,432.00$3,432.001.0×
fort hays state student athletes [5032000960]11$1,167.62$1,167.62$1,167.621.0×
employers health network [503999025]11$4,118.40$4,118.40$4,118.401.0×
accarent health [503999034]11$2,288.00$2,288.00$2,288.001.0×
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$5,551.00$3,330.60$596.49$3,608.15$5,551.00
Barnes Jewish St. Peters HospitalSt. PetersMO36$5,551.00$3,330.60$596.49$3,469.38$5,551.00
St. Louis Childrens HospitalSt. LouisMO34$4,958.00$2,974.80$586.12$3,227.66$4,214.30
North Kansas City HospitalNorth Kansas CityMO59$4,576.00$915.20$556.01$2,406.98$4,347.20
Parkland Health Center - FarmingtonFarmingtonMO35$2,987.00$1,792.20$638.84$2,007.27$2,598.69
Missouri Baptist Hospital SullivanSullivanMO36$2,987.00$1,792.20$657.14$1,974.41$2,598.69
Missouri Baptist Sullivan HospitalSullivanMO36$2,987.00$1,792.20$657.14$1,974.41$2,598.69
Parkland Hlth Ctr - Bonne TerreBonne TerreMO37$2,894.00$1,736.40$628.54$1,898.00$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$754.20
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$2,060.00$1,030.00

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.