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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$467.25
Median
$997.94
Max
$1,184.12
Range multiplier
2.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield834$58.84$1,371.66$5,891.48100.1×
UnitedHealthcare829$1.00$824.46$7,186.007186.0×
Aetna824$172.23$847.82$6,230.7036.2×
Cigna820$1.00$1,284.91$6,043.786043.8×
Humana815$185.32$783.24$2,410.6213.0×
WellCare713$285.63$835.34$997.943.5×
CareSource510$13.49$771.76$1,442.81107.0×
First Health39$422.75$1,160.00$6,576.8515.6×
Medicaid16$1.00$234.01$1,315.341315.3×
Health Net16$185.32$671.54$6,715.3136.2×
Ambetter34$890.27$1,142.92$1,395.571.6×
banner health13$185.32$445.00$898.074.8×
TRICARE33$623.19$623.19$824.461.3×
devoted health23$471.70$849.19$951.962.0×
Oscar Health23$1,071.80$1,353.28$1,353.281.3×
peach state13$12.84$849.19$989.3577.1×
secure health op rate22$2,000.00$2,000.00$2,000.001.0×
alliant health plan22$1,307.32$1,307.32$1,307.321.0×
alliant op rate22$2,000.00$2,000.00$2,000.001.0×
amerigroup op rate22$609.70$730.00$850.291.4×
arizona medical network12$445.00$671.54$898.072.0×
beech street op rate22$3,600.00$3,600.00$3,600.001.0×
blue mcr replacement12$845.80$845.80$845.801.0×
bridgeway health solutions12$445.00$671.54$898.072.0×
dodge cty op rate22$960.00$960.00$960.001.0×
facility billing - op12$845.80$845.80$845.801.0×
health choice pathway12$445.00$671.54$898.072.0×
health management network12$445.00$671.54$898.072.0×
healthspring mcr replacement12$854.26$858.49$862.721.0×
imperial insurance12$467.25$705.12$942.982.0×
Medicare Advantage12$845.80$845.80$845.801.0×
occunet12$1,564.73$1,733.89$1,903.051.2×
phcs op rate22$3,680.00$3,680.00$3,680.001.0×
riverwood behavioral health12$824.46$927.52$1,030.581.3×
rural arizona network12$445.00$671.54$898.072.0×
smarthealth12$1,184.12$1,184.12$1,184.121.0×
sonder health plan12$865.68$865.68$865.681.0×
united mine workers of america12$445.00$671.54$898.072.0×
mercy care11$194.59$194.59$194.591.0×
Multiplan11$824.46$824.46$824.461.0×
naphcare11$1,277.91$1,277.91$1,277.911.0×
novanet11$824.46$824.46$824.461.0×
americas choice provider network11$824.46$824.46$824.461.0×
centurion11$1,236.69$1,236.69$1,236.691.0×
care 1st11$185.32$185.32$185.321.0×
peach state health plan op rate11$682.29$682.29$682.291.0×
peach state hp op rate11$860.53$860.53$860.531.0×
amerigroup community care11$260.41$260.41$260.411.0×
georgia workers’ compensation11$824.46$824.46$824.461.0×
health choice11$194.59$194.59$194.591.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chatuge Regional HospitalHiwasseeGA8$1,867.60$933.80$410.87$997.94$1,587.46
Southern Regional Medical CenterRiverdaleGA27$4,643.60$824.00$12.84$824.46$2,410.62
Union General HospitalBlairsvilleGA9$1,867.60$933.80$260.41$810.65$1,587.46
Dodge County HospitalEastmanGA6$2,465.49$1.00$720.31$2,218.94
West Central Ga Regional HospitalColumbusGA22$6,923.00$5,136.87$185.32$467.25$6,715.31
St. Marys Sacred Heart HospitalLavoniaGA14$11,833$4,733.20$845.80$1,184.12$7,186.00
Perry HospitalPerryGA17$1,430.79$609.70$1,059.50$3,680.00
Houston Medical CenterWarner RobinsGA17$1,430.79$623.19$1,059.50$3,680.00
Southwell MedicalAdelGA0$2,142.00$1,071.00

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.