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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in WA

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Hospitals
4
Min
$582.72
Median
$1,606.07
Max
$1,774.77
Range multiplier
3.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield319$272.64$1,710.02$3,315.9312.2×
UnitedHealthcare314$113.49$1,948.94$5,836.3151.4×
Aetna39$168.41$1,789.04$4,796.8828.5×
Humana36$182.33$610.11$770.224.2×
Medicare Advantage14$185.74$492.65$799.564.3×
Kaiser Permanente24$546.3$1,407.33$2,524.174.6×
the health plan hmo13$1,707.72$3,475.08$4,578.842.7×
the health plan13$135.11$528.68$580.34.3×
Cigna23$546.3$1,960.1$2,123.13.9×
umr13$1,606.07$3,268.23$4,306.292.7×
Molina13$119.41$340.8$1,650.4613.8×
ameriben [8000]12$546.3$1,334.7$2,123.13.9×
first choice generic [8999]12$546.3$1,334.7$2,123.13.9×
Ambetter12$458.46$1,172.83$1,887.24.1×
mutual of omaha [8007]12$546.3$1,334.7$2,123.13.9×
asuris truadvantage [4011]12$185.74$492.65$799.564.3×
First Health12$546.3$1,334.7$2,123.13.9×
mva state farm [1028]12$582.72$1,423.68$2,264.643.9×
Medicare12$691.55$708.84$726.131.1×
mva progressive [1027]12$582.72$1,423.68$2,264.643.9×
community health network of wa [1055]12$315.24$836.15$1,357.054.3×
mega life [8005]12$546.3$1,334.7$2,123.13.9×
mid west natl life [8006]12$546.3$1,334.7$2,123.13.9×
wellpoint [6009]12$236.73$578.37$920.013.9×
chp advantage [4001]12$213$564.96$916.924.3×
pacific source [8008]12$546.3$1,334.7$2,123.13.9×
pacific source administrators [8010]12$546.3$1,334.7$2,123.13.9×
first choice [8009]12$546.3$1,334.7$2,123.13.9×
optum ccn region 111$528.68$528.68$528.681.0×
optum ccn region 211$528.68$528.68$528.681.0×
painters trust [150126]11$1,774.77$1,774.77$1,774.771.0×
puget sound electric [150131]11$1,774.77$1,774.77$1,774.771.0×
seattle plumb and pipe [150132]11$1,774.77$1,774.77$1,774.771.0×
trusteed plan [150101]11$1,774.77$1,774.77$1,774.771.0×
washington bakers trust [150102]11$1,774.77$1,774.77$1,774.771.0×
washington employers trust [150103]11$1,774.77$1,774.77$1,774.771.0×
washington state health ins pool [150104]11$1,774.77$1,774.77$1,774.771.0×
welfare pension administration services [150105]11$1,774.77$1,774.77$1,774.771.0×
WellCare11$528.68$528.68$528.681.0×
zenith admin [150106]11$1,774.77$1,774.77$1,774.771.0×
zzjohn alden [150117]11$1,774.77$1,774.77$1,774.771.0×
zzprincipal financial group [150128]11$1,774.77$1,774.77$1,774.771.0×
zzprovidence [150129]11$1,774.77$1,774.77$1,774.771.0×
Anthem BCBS11$528.68$528.68$528.681.0×
benefit md [150113]11$1,774.77$1,774.77$1,774.771.0×
carpenters trust [150122]11$1,774.77$1,774.77$1,774.771.0×
cement masons and plasterers [150127]11$1,774.77$1,774.77$1,774.771.0×
chp [6000]11$123.36$123.36$123.361.0×
chpw med advantage [210102]11$691.55$691.55$691.551.0×
coordinated care [6007]11$122.87$122.87$122.871.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WENATCHEE VALLEY HOSPITALWENATCHEEWA29$2,359$2,123.1$113.49$582.72$2,264.64
VALLEY MEDICAL CENTERRENTONWA40$14,631$10,242$183.62$1,774.77$5,836.31
EAST ADAMS RURAL HOSPITALRITZVILLEWA11$5,451$3,270.6$135.11$1,606.07$4,796.88
KFH - WASHINGTONSEATTLEWA0$3,279$2,623.2

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.