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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in OK

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Hospitals
11
Min
$283.61
Median
$2,107.11
Max
$3,199.40
Range multiplier
11.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthcare highways [2210]629$622.38$1,885.12$2,934.754.7×
Blue Cross Blue Shield327$273.83$2,234.20$5,473.9720.0×
First Health816$69.00$2,225.00$14,802214.5×
Aetna415$69.00$572.76$5,473.9779.3×
Multiplan814$90.00$2,481.73$4,668.0851.9×
Cigna812$70.00$1,372.62$5,473.9778.2×
phcs [1780]510$2,245.98$3,397.60$4,668.082.1×
Humana310$69.00$572.76$5,473.9779.3×
UnitedHealthcare510$572.76$1,206.94$5,814.8410.2×
community care29$70.00$1,145.53$10,948156.4×
Oscar Health89$46.00$1,008.32$1,248.4427.1×
healthcare highways38$25.00$571.33$1,073.8943.0×
pba [1775]77$1,323.23$2,394.85$3,715.852.8×
umr - ardent employee [2036]66$735.76$1,465.01$1,725.022.3×
universal fidelity [2085]66$2,381.28$3,682.65$4,668.082.0×
oncology patient assistance programs [2295]66$622.38$1,060.30$1,248.442.0×
hooray health [8000]66$622.38$1,060.30$1,248.442.0×
healthscope benefits [2290]66$735.76$1,465.01$1,725.022.3×
Medicare26$572.76$572.76$5,473.979.6×
trustmark [2030]66$2,381.28$3,682.65$4,668.082.0×
web tpa [2115]66$809.09$1,990.17$2,934.753.6×
osma health network [2345]55$1,008.32$1,082.15$1,248.441.2×
new era life insurance company [1705]55$2,381.28$3,507.20$4,668.082.0×
pan american life insurance co [1770]55$2,381.28$3,507.20$4,668.082.0×
pending ssi [1616]55$2,706.00$4,515.00$5,428.002.0×
resource one administrators [2815]55$1,293.88$2,095.21$2,934.752.3×
the kempton group administrators [2905]55$1,972.80$2,117.25$2,442.601.2×
black lung [6055]55$622.38$1,038.45$1,248.442.0×
lucent health [6000]55$622.38$1,038.45$1,248.442.0×
medica [2910]55$2,380.73$3,021.62$3,332.071.4×
national association of letter carriers [1695]55$1,323.23$1,727.30$2,817.132.1×
hometown health [2155]44$3,507.20$4,014.77$4,668.081.3×
Healthfirst44$3,507.20$4,014.77$4,668.081.3×
healthcost solutions [2415]44$3,507.20$4,014.77$4,668.081.3×
planned administrators inc [2360]44$3,507.20$4,014.77$4,668.081.3×
administrative concepts [1005]44$2,381.28$3,065.96$4,668.082.0×
mayo clinic health solutions [2280]44$3,507.20$4,014.77$4,668.081.3×
allied national global care [1035]44$2,381.28$3,065.96$4,668.082.0×
mutual of omaha [1685]44$2,381.28$3,682.65$4,668.082.0×
preferred community choice34$76.00$1,360.26$1,453.6019.1×
allied benefit systems inc [1030]44$2,381.28$3,065.96$4,668.082.0×
community care [1290]44$2,245.98$2,864.80$3,716.951.7×
healthpartners [1500]44$1,323.23$2,033.68$3,715.852.8×
employee benefit management services [2445]44$3,288.00$3,810.50$3,962.441.2×
webtpa hobby lobby hch23$53.00$948.60$948.6017.9×
Ambetter23$801.87$801.87$7,663.569.6×
fmh benefit services [1390]33$2,245.98$2,441.60$3,716.951.7×
GEHA23$608.43$608.43$5,814.849.6×
gilsbar [1425]33$2,381.28$2,624.72$3,858.101.6×
global health23$63.00$1,127.58$1,127.5817.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bailey Medical CenterOwassoOK37$4,705.00$1,411.50$1,082.15$3,199.40$4,705.00
Hillcrest Medical CenterTulsaOK32$5,428.00$1,628.40$1,248.44$3,083.10$5,428.00
Hillcrest Hospital PryorPryorOK22$4,515.00$1,354.50$1,038.45$2,934.75$4,515.00
Nowata Health CenterNowataOK3$3,114.75$1,152.46$194.56$283.61$3,183.00
Hillcrest Hospital SouthTulsaOK31$4,384.00$1,315.20$1,008.32$2,582.18$3,507.20
Hillcrest Hospital HenryettaHenryettaOK24$3,052.00$915.60$701.96$2,441.60$3,052.00
Hillcrest Hospital ClaremoreClaremoreOK24$5,348.00$1,604.40$1,230.04$2,107.11$4,171.44
Hillcrest Hospital CushingCushingOK34$2,706.00$811.80$622.38$1,898.26$2,706.00
Jefferson County HospitalWaurikaOK12$1,580.00$554.58$663.60$1,303.50$1,485.20
Oklahoma Heart HospitalOklahoma CityOK25$1,789.81$12,800$25.00$1,100.74$14,802
Oklahoma Heart Hospital SouthOklahoma CityOK26$1,789.81$626.43$447.45$1,073.89$5,055.42

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.