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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in AL

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Hospitals
25
Min
$78.00
Median
$770.36
Max
$1,799.98
Range multiplier
23.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna10106$7.00$718.80$37,2885326.9×
Humana1172$12.60$768.19$34,9582774.4×
Blue Cross Blue Shield1068$267.00$1,150.64$3,952.0014.8×
Aetna1353$18.20$878.35$50,4942774.4×
UnitedHealthcare1244$12.60$844.35$34,9582774.4×
viva523$14.00$470.51$38,8422774.4×
Ambetter812$658.90$1,460.67$1,607.022.4×
Medicare610$753.13$845.80$904.701.2×
WellCare68$828.44$837.12$845.801.0×
smarthealth36$1,184.12$1,184.12$1,229.691.0×
health spring16$227.00$411.50$822.003.6×
Molina35$904.70$1,564.73$2,179.002.4×
occunet25$1,564.73$1,903.05$5,184.693.3×
devoted55$733.27$775.73$775.731.1×
Oscar Health24$1,353.28$1,353.28$1,353.281.0×
Medicare Advantage24$845.80$854.26$862.721.0×
Bright Health34$1,097.94$1,398.96$2,660.002.4×
university of utah14$31.80$36.60$39.901.3×
avmed exchange12$1,522.44$1,522.44$1,522.441.0×
actin care12$1,361.44$1,361.44$1,361.441.0×
employer direct healthcare12$1,480.15$1,480.15$1,480.151.0×
motivhealth12$48.00$48.00$48.001.0×
Multiplan22$67.00$913.49$1,759.9826.3×
blue mcr replacement12$845.80$845.80$845.801.0×
facility billing - op12$845.80$845.80$845.801.0×
pace place12$845.80$845.80$845.801.0×
pehp12$27.60$31.55$35.501.3×
research study encore borland-groover12$845.80$845.80$845.801.0×
careplus mcr replacement12$862.72$862.72$862.721.0×
Self-Pay (Cash)12$878.35$878.35$878.351.0×
VA Health12$845.80$845.80$845.801.0×
aarp12$834.43$834.43$834.431.0×
viva health22$822.00$1,091.00$1,359.991.7×
healthspring mcr replacement12$854.26$858.49$862.721.0×
90 degree benefits12$1,522.44$1,522.44$1,522.441.0×
bc advantage mcr replacement12$845.80$845.80$845.801.0×
illinicare11$810.12$810.12$810.121.0×
angle insurance11$48.00$48.00$48.001.0×
behavioral hlth sys [100258]11$2,282.80$2,282.80$2,282.801.0×
blue advantage11$1,662.43$1,662.43$1,662.431.0×
claritev [100309]11$2,232.07$2,232.07$2,232.071.0×
clover health11$864.00$864.00$864.001.0×
community hospice11$845.80$845.80$845.801.0×
county care11$810.12$810.12$810.121.0×
devoted health11$847.00$847.00$847.001.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
elap11$21.18$21.18$21.181.0×
evernorth bh11$70.00$70.00$70.001.0×
First Health11$1,599.98$1,599.98$1,599.981.0×
harmony health plan11$810.12$810.12$810.121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Vincents St. ClairPell CityAL18$141.68$878.35$1,554.68
Coosa Valley Medical CenterSylacaugaAL8$2,215.00$532.00$227.00$822.00$2,215.00
Mountain View HospitalGadsdenAL21$12,949$12,949$21.18$78.00$10,206
Cullman RegionalCullmanAL4$1,816.43$1,181.00$770.36$770.36$770.36
Huntsville HospitalHuntsvilleAL10$77,684$77,684$7.00$735.97$50,494
Helen Keller HospitalSheffieldAL10$77,684$77,684$7.00$735.97$50,494
Decatur Morgan - Decatur CampusDecaturAL10$77,684$77,684$7.00$735.97$50,494
Athens LimestoneAthensAL10$77,684$77,684$7.00$735.97$50,494
Marshall Medical Centers SouthBoazAL7$1,497.50$1,497.50$263.56$711.91$1,423.83
The Childrens Hospital Of AlabamaBirminghamAL17$2,536.44$1,090.67$1,359.99$1,799.98$2,536.44
Washington County HospitalChatomAL4$2,078.04$54.17$1,184.48$1,610.48$1,870.23
St. Vincents EastBirminghamAL23$4,147.75$1,534.67$664.65$1,184.12$5,978.00
Providence HospitalMobileAL14$11,833$4,733.20$845.80$1,184.12$7,186.00
Noland Hospital Dothan IiDothanAL0$4,407.90
Noland Hospital Anniston IiAnnistonAL0$1,571.29
Southeast Health Medical CenterDothanAL0$2,535.45$1,014.18
Gadsden Regional Medical CenterGadsdenAL0$18,315$3,296.71
Flowers HospitalDothanAL0$5,740.20$1,722.06
Grandview Medical CenterBirminghamAL0$8,398.00$2,015.52
Crestwood Medical CenterHuntsvilleAL0$8,514.28$1,788.00
Springhill Memorial HospitalMobileAL0$1,562.72$1,328.31
Red Bay HospitalRed BayAL0$10,553$5,909.68
Tanner Medical Center Alabama Inc.WedoweeAL0$1,447.00$578.80
Noland Hospital Montgomery IiMontgomeryAL0$1,571.29
Noland Hospital Birmingham IiBirminghamAL0$5,490.38

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.