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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$344.99
Median
$741.13
Max
$3,048.00
Range multiplier
8.8×

By payer (45 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare19129$190.05$815.73$4,512.9023.7×
Blue Cross Blue Shield18110$194.00$374.70$4,374.7522.6×
Aetna1699$194.00$792.42$3,899.0020.1×
medica460$190.05$733.04$4,420.8023.3×
Cigna1646$409.90$1,543.65$3,223.267.9×
Humana1734$190.05$218.60$1,980.1510.4×
health partners open network1431$377.67$651.33$1,538.684.1×
amerigroup1728$199.56$740.99$2,079.1610.4×
midlands choice427$337.69$752.64$4,420.8013.1×
millard public schools326$521.28$752.64$4,933.009.5×
one world326$521.28$752.64$4,933.009.5×
greater omaha packing326$521.28$752.64$4,933.009.5×
amerivantage1122$194.00$469.23$884.744.6×
Molina1020$197.88$495.15$859.464.3×
medica exchange inspire1415$698.83$1,242.78$2,141.443.1×
Multiplan314$532.14$768.32$4,554.308.6×
phcs314$532.14$768.32$4,512.908.5×
quiktrip314$521.28$752.64$4,420.808.5×
medica exchange insure1414$782.69$1,307.33$1,844.062.4×
iowa total care1414$698.42$765.31$838.371.2×
timpte313$521.28$752.64$4,933.009.5×
Centene312$193.86$571.94$2,019.7610.4×
bc illinois community210$242.80$308.03$3,527.6614.5×
iamolina37$242.83$350.61$2,059.368.5×
amps37$421.92$518.35$4,395.9410.4×
great plains37$199.56$245.17$2,079.1610.4×
pace37$190.05$233.49$1,980.1510.4×
meridian health plan24$203.70$509.72$815.734.0×
health alliance24$194.00$493.21$792.424.1×
Ambetter24$194.00$718.51$1,243.026.4×
total care13$238.16$343.87$2,019.768.5×
dean health plan13$579.60$1,714.99$1,714.993.0×
health eos12$3,048.00$3,048.00$3,048.001.0×
healthpartners12$2,857.50$2,857.50$2,857.501.0×
medical associates health plan12$339.50$791.44$1,243.373.7×
Medicare12$233.50$359.33$485.162.1×
meridian12$203.70$569.72$935.734.6×
health eos plus12$2,286.00$2,286.00$2,286.001.0×
Anthem BCBS12$3,238.50$3,238.50$3,238.501.0×
iowa health12$203.70$469.23$734.763.6×
creighton university employees11$2,143.20$2,143.20$2,143.201.0×
health partners11$337.69$337.69$337.691.0×
todays options11$837.59$837.59$837.591.0×
elap11$1,500.24$1,500.24$1,500.241.0×
quartz health11$1,714.99$1,714.99$1,714.991.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Unitypoint Health-MarshalltownMarshalltownIA12$2,796.09$2,236.88$194.00$815.73$2,231.28
Grinnell Regional Medical CenterGrinnellIA12$3,157.64$2,526.12$194.00$813.97$3,031.33
St. Lukes Regl Medical CenterSioux CityIA12$3,157.64$2,526.12$194.00$813.97$3,031.33
Community Mem. Hospt. SummerSumnerIA12$3,157.64$2,526.12$194.00$813.97$3,031.33
Iowa Lutheran HospitalDes MoinesIA12$4,743.43$3,794.75$194.00$802.17$2,053.91
Chi Health Mercy CorningCorningIA18$4,605.00$2,210.40$196.00$752.64$4,512.90
Chi Health - Missouri ValleyMissouri ValleyIA19$4,605.00$2,256.45$190.05$752.64$4,512.90
St. Lukes Methodist HospitalCedar RapidsIA12$4,917.49$3,934.00$194.00$741.13$2,694.78
The Finley HospitalDubuqueIA17$2,143.74$1,715.00$194.00$740.85$3,527.66
Jones Regional Medical CtrAnamosaIA12$1,794.29$1,435.44$194.00$735.21$1,794.29
Trinity Regional Medical CenterFort DodgeIA10$2,519.34$2,015.48$194.00$718.17$2,211.21
Trinity BettendorfBettendorfIA13$1,996.66$1,597.33$194.00$711.95$2,163.96
Allen Memorial HospitalWaterlooIA12$2,796.09$2,236.88$194.00$698.42$2,296.25
Grundy County Mem. HospitalGrundy CenterIA12$2,796.09$2,236.88$194.00$698.42$2,296.25
Iowa Methodist Medical CenterDes MoinesIA12$4,743.43$3,794.75$194.00$654.02$2,163.96
Trinity MuscatineMuscatineIA14$1,996.66$1,597.33$194.00$496.21$3,527.66
Mitchell County Regional Health CentOsageIA1$1,054.70$949.23$233.50$359.33$485.16
Broadlawns Medical CenterDes MoinesIA7$619.00$619.00$298.26$344.99$619.00
Washington County HospitalWashingtonIA7$3,810.00$1,905.00$1,985.00$3,048.00$3,899.00
Chi Health Mercy Council BluffsCouncil BluffsIA21$5,358.00$2,250.36$405.87$2,302.00$4,933.00
Greene County Medical CenterJeffersonIA0$2,266.00$1,268.96
Regional Health Services Of Howard CCrescoIA0$1,542.00
Story County HospitalNevadaIA0$1,356.00$1,084.80
Peoples Memorial HospitalIndependenceIA0$3,716.85$3,159.32
Stewart Memorial HospitalLake CityIA0$1,965.00$1,572.00
Mercy Hospital Iowa CityIowa CityIA0$5,435.00$2,608.80
Spencer Municipal HospitalSpencerIA0$1,948.80$1,461.60
Loring HospitalSac CityIA0$1,039.00$831.20

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.