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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in IN

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Hospitals
19
Min
$272.02
Median
$301.25
Max
$2,624.55
Range multiplier
9.6×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS670$190.81$330.48$330.481.7×
UnitedHealthcare737$36.28$259.14$2,939.0081.0×
Medicaid624$190.81$190.81$190.811.0×
patoka valley tier 2614$330.48$330.48$330.481.0×
patoka valley tier 1614$330.48$330.48$330.481.0×
mhs care connect612$190.81$190.81$190.811.0×
Blue Cross Blue Shield19$845.80$1,800.00$3,952.004.7×
Aetna18$871.17$1,310.99$1,733.892.0×
Humana16$664.65$837.34$854.261.3×
encore exclusive66$330.48$330.48$330.481.0×
Cigna15$854.26$2,994.00$5,978.007.0×
occunet13$1,564.73$1,903.05$5,184.693.3×
WellCare12$845.80$845.80$845.801.0×
Ambetter12$1,607.02$1,607.02$1,607.021.0×
avmed exchange12$1,522.44$1,522.44$1,522.441.0×
bc advantage mcr replacement12$845.80$845.80$845.801.0×
careplus mcr replacement12$862.72$862.72$862.721.0×
employer direct healthcare12$1,480.15$1,480.15$1,480.151.0×
Medicare12$845.80$845.80$845.801.0×
Medicare Advantage12$862.72$862.72$862.721.0×
Molina12$1,564.73$1,564.73$1,564.731.0×
Oscar Health12$1,353.28$1,353.28$1,353.281.0×
pace place12$845.80$845.80$845.801.0×
research study encore borland-groover12$845.80$845.80$845.801.0×
smarthealth12$1,184.12$1,184.12$1,184.121.0×
VA Health12$845.80$845.80$845.801.0×
90 degree benefits12$1,522.44$1,522.44$1,522.441.0×
usa managed care organization11$2,624.55$2,624.55$2,624.551.0×
velocity provider ppo network11$2,624.55$2,624.55$2,624.551.0×
america's choice provider11$2,449.58$2,449.58$2,449.581.0×
haven hospice11$845.80$845.80$845.801.0×
community hospice11$845.80$845.80$845.801.0×
prime health services11$2,974.49$2,974.49$2,974.491.0×
quik trip11$2,624.55$2,624.55$2,624.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St Vincent Seton Specialty Hosp-LafLafayetteIN7$38.08$301.25$330.48
St. Mary Medical Center Inc.HobartIN7$4,658.00$2,794.80$36.28$301.25$330.48
Ascension St. Vincent WarrickBoonevilleIN7$4,658.00$2,794.80$36.28$301.25$330.48
Ascension St. Vincent JenningsNorth VernonIN7$5,491.00$3,294.60$38.08$301.25$330.48
Ascension St Vincent Seton SpecialtyIndianapolisIN7$38.08$301.25$330.48
Ascension St. Vincent WilliamsportWilliamsportIN7$4,961.00$2,976.60$36.28$272.02$330.48
Rehabilitation Hospital Of IndianaIndianapolisIN5$3,499.40$3,499.40$2,449.58$2,624.55$2,974.49
Ascension St. Vincent DunnBedfordIN23$4,147.75$1,534.67$664.65$1,184.12$5,978.00
Laporte HospitalLaporteIN0$4,076.02$2,201.05
Dukes Memorial HospitalPeruIN0$7,500.00$4,125.00
Margaret Mary Community HospitalBatesvilleIN0$1,626.90$1,366.60
Lutheran Musculoskeletal CenterFort WayneIN0$512.00$138.24
Marion General HospitalMarionIN0$5,699.00$3,419.40
Lutheran Hospital Of IndianaFt WayneIN0$7,020.00$2,527.20
Porter Regional HospitalValparaisoIN0$7,344.00$2,643.84
Schneck Medical CenterSeymourIN0$1,970.00$1,379.00
Bluffton Regional Medical CenterBlufftonIN0$5,732.00$3,152.60
Starke Memorial HospitalKnoxIN0$4,076.02$2,241.81
Dupont HospitalFort WayneIN0$2,148.00$966.60

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.