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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$1,859.22
Median
$1,859.22
Max
$1,859.22
Range multiplier
1.0×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare636$131.81$1,778.01$2,709.6820.6×
Aetna630$522.85$1,687.34$2,201.164.2×
Humana624$131.81$543.40$567.344.3×
Anthem BCBS624$125.82$1,259.13$3,143.8225.0×
sentara health plan618$128.22$584.03$2,055.3016.0×
Cigna612$2,105.03$2,239.29$2,386.801.1×
gateway - tier 166$3,149.25$3,149.25$3,149.251.0×
gateway - tier 266$2,652.00$2,652.00$2,652.001.0×
gateway - tier 366$1,823.25$1,823.25$1,823.251.0×
connecticare66$2,320.50$2,320.50$2,320.501.0×
First Health66$131.81$131.81$131.811.0×
vhn - link66$2,983.50$2,983.50$2,983.501.0×
vhn - plus66$2,552.55$2,552.55$2,552.551.0×
vhn - secondary payors66$3,149.25$3,149.25$3,149.251.0×
vhn - ultra66$2,055.30$2,055.30$2,055.301.0×
vhn66$2,652.00$2,652.00$2,652.001.0×
integrated health plan11$2,817.75$2,817.75$2,817.751.0×
national provider network11$3,182.40$3,182.40$3,182.401.0×
corvel11$113.84$113.84$113.841.0×
allcare11$556.22$556.22$556.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Carilion Medical CenterRoanokeVA16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Carilion New River Valley Med CenterChristiansburgVA16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Carilion Franklin Memorial HospitalRocky MountVA16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Carilion Tazewell Community HospitalTazewellVA20$3,315.00$1,160.25$113.84$1,859.22$3,182.40
Carilion Giles Community HospitalPearisburgVA16$3,315.00$1,160.25$125.82$1,859.22$3,149.25
Childrens Hospital Of The Kings DaNorfolkVA0$4,007.86$3,607.07
Lynn House Of Potomac Valley Inc.AlexandriaVA0$1,223.00$611.50
Bon Secours Depaul Medical CenterNorfolkVA0$3,911.00$2,542.15

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.