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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in OH

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Hospitals
29
Min
$241.18
Median
$2,104.96
Max
$3,299.00
Range multiplier
13.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17295$403.91$1,661.09$8,148.0820.2×
ohio health choice18210$274.40$2,572.70$9,247.5033.7×
Anthem BCBS18190$102.28$1,990.30$7,143.0069.8×
Cigna18157$341.04$1,747.20$6,627.3819.4×
Aetna20143$135.95$2,382.72$8,168.6360.1×
healthsmart17118$215.60$1,747.20$6,678.7531.0×
First Health18108$305.76$3,285.14$8,733.7528.6×
ohio preferred network16106$294.00$3,166.40$9,247.5031.5×
Multiplan17104$1,026.90$3,562.20$9,247.509.0×
immergrun15100$570.50$2,133.50$6,165.0010.8×
fortified provider network15100$1,026.90$3,562.20$9,247.509.0×
private healthcare system15100$981.26$3,403.88$8,836.509.0×
buckeye plain ministries15100$524.86$1,979.00$5,137.509.8×
amish aid community plan15100$524.86$1,979.00$5,137.509.8×
amish church fund and workers aid plan15100$524.86$1,979.00$5,137.509.8×
beech street15100$912.80$3,562.20$9,247.5010.1×
century health network15100$969.85$3,364.30$8,733.759.0×
christian healthcare ministries15100$570.50$1,979.00$5,137.509.0×
clarity15100$934.56$2,196.48$7,192.507.7×
configurenet15100$1,026.90$3,562.20$9,247.509.0×
UnitedHealthcare1979$111.19$1,349.74$7,213.0564.9×
the health plan1877$133.28$1,690.65$7,192.5054.0×
medical mutual traditional/health ohio1174$798.70$2,770.60$7,192.509.0×
summacare1654$133.28$1,768.68$7,500.7556.3×
jp farley1451$915.09$2,150.72$6,165.006.7×
sunrise plan communities850$973.50$1,344.00$2,650.002.7×
sunrise plain communities750$570.50$1,979.00$5,137.509.0×
aultcare1643$133.28$2,008.00$6,781.5050.9×
enterprise group planning432$1,456.56$3,232.74$7,192.504.9×
health ohio network432$1,508.58$3,239.35$6,884.254.6×
Humana1930$134.62$568.37$2,038.5615.1×
CareSource1626$135.95$1,023.06$5,548.5040.8×
Molina1823$133.28$568.37$967.787.3×
Medicare223$171.53$241.18$956.715.6×
Ambetter1522$834.12$1,023.06$5,754.006.9×
university health employee plan (contigo)1317$1,300.50$1,560.00$5,137.504.0×
paramount1515$477.30$585.42$739.821.6×
valor health plans1515$486.57$596.79$754.181.5×
medical mutual115$133.28$370.60$905.936.8×
perennial advantage of ohio1515$486.57$596.79$754.181.5×
primetime health plan1515$463.40$568.37$718.271.6×
WellCare1515$463.40$568.37$718.271.6×
Medicaid214$105.00$257.69$1,287.0012.3×
devoted health1414$463.40$568.37$568.371.2×
Blue Cross Blue Shield26$278.02$1,053.53$1,080.543.9×
transplants-case rates [5750]16$241.18$241.18$241.181.0×
ohio ppo connect24$1,502.10$1,502.10$1,502.101.0×
buckeye13$135.95$189.01$430.383.2×
priority health12$242.54$438.53$634.512.6×
buckeye community health plan22$584.22$732.01$879.801.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Samaritan Medical CenterAshlandOH38$1,141.00$855.75$403.91$974.42$1,560.00
Twin City HospitalDennisonOH16$1,241.00$615.54$102.28$417.47$1,453.00
St. Lukes HospitalMaumeeOH14$1,199.00$599.50$111.19$335.37$1,136.09
Rainbow Babies & Childrens HospitalClevelandOH40$10,275$7,706.25$568.37$3,299.00$9,247.50
Uh Cleveland Medical CenterClevelandOH40$10,275$7,706.25$568.37$3,299.00$9,247.50
University Hospitals Rehab HospitalBeachwoodOH40$10,275$7,706.25$568.37$3,299.00$9,247.50
University Hospitals Avon Rehab HospAvonOH40$10,275$7,706.25$568.37$3,299.00$9,247.50
Uh Ahuja Medical CenterBeachwoodOH38$5,300.00$3,975.00$568.37$2,419.20$4,770.00
Adams County Regional Medical CenterSeamanOH6$1,287.00$772.20$105.00$241.18$1,287.00
Uh Portage Medical CenterRavennaOH37$5,300.00$3,975.00$467.28$2,117.78$4,770.00
Uh Regional HospitalsRichmond HeightsOH37$5,300.00$3,975.00$502.33$2,104.96$4,770.00
Lake Hospital SystemConcordOH36$5,300.00$3,975.00$568.37$2,104.96$4,770.00
Uh Elyria Medical CenterElyriaOH38$5,300.00$3,975.00$568.37$2,104.96$4,770.00
Uh Geauga Medical CenterChardonOH37$5,300.00$3,975.00$502.33$2,104.96$4,770.00
Uh Parma Medical CenterParmaOH37$5,300.00$3,975.00$550.00$2,104.96$4,770.00
Uh St. John Medical CenterWestlakeOH38$5,300.00$3,975.00$529.58$2,066.98$4,770.00
Adena Regional Medical CenterChillicotheOH21$2,145.85$1,072.93$584.22$1,529.99$7,143.00
Uh Conneaut Medical CenterConneautOH38$2,317.00$1,737.75$718.27$1,517.64$4,000.00
Uh Geneva Medical CenterGenevaOH37$2,317.00$1,737.75$463.40$1,517.64$4,000.00
Fayette County Memorial HospWashington Court HouseOH18$2,145.85$1,072.93$729.59$1,422.70$2,424.81
Bethesda HospitalCincinnatiOH0$3,250.00$2,437.50
Barnesville HospitalBarnesvilleOH0$1,552.00$776.00
Wilson Memorial HospitalSidneyOH0$1,579.20$789.60
Mccullough-Hyde Memorial HospitalOxfordOH0$3,128.19$2,346.14
Harrison Community HospitalCadizOH0$2,060.00$1,030.00
Trumbull Memorial HospitalWarrenOH0$1,850.00$1,480.00
Good Samaritan HospitalCincinnatiOH0$3,250.00$2,437.50
Wayne Hospital CompanyGreenvilleOH0$2,622.00$1,966.50
Henry County Hospital (Cah)NapoleonOH0$1,590.00$1,192.50

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.