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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in KY

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Hospitals
9
Min
$195.02
Median
$195.02
Max
$1,445.92
Range multiplier
7.4×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna825$157.68$222.29$3,026.119.2×
WellCare817$157.68$195.02$1,283.618.1×
UnitedHealthcare815$157.68$198.84$1,931.2612.2×
Humana212$198.84$730.37$2,88214.5×
Anthem BCBS18$157.68$1,277.73$1,932.0312.3×
Cigna27$198.84$1,424.63$1,931.269.7×
medcost16$717.23$1,167.54$2,190.983.1×
optum ccn region 266$195.02$195.02$195.021.0×
optum ccn region 166$195.02$195.02$195.021.0×
caresoure kentucky55$195.02$321.78$321.781.6×
Multiplan25$431.8$2,178.3$2,947.56.8×
Blue Cross Blue Shield14$697.58$1,006.08$1,122.021.6×
First Health13$431.8$2,178.3$2,178.35.0×
commonwealth health alliance13$457.2$2,306.44$2,306.445.0×
center care13$382.83$1,931.26$1,931.265.0×
alliance coal12$238.61$702.77$1,166.924.9×
amerigroup12$198.84$488.4$777.953.9×
amerihealth12$617.01$758.49$899.971.5×
beechstreet12$2,882$2,882$2,8821.0×
CareSource12$198.84$624.54$1,050.235.3×
directnet12$1,935.53$1,935.53$1,935.531.0×
healthgram12$2,620$2,620$2,6201.0×
healthgram lexington home brands12$2,358$2,358$2,3581.0×
national provider network12$2,947.5$2,947.5$2,947.51.0×
oscar12$1,048$1,244.5$1,4411.4×
private healthcare systems12$2,685.5$2,685.5$2,685.51.0×
the health plan12$162.39$178.71$195.021.2×
va community care network12$198.84$488.4$777.953.9×
Ambetter11$939.93$939.93$939.931.0×
partners11$617.01$617.01$617.011.0×
alliance11$629.46$629.46$629.461.0×
vaya11$623.23$623.23$623.231.0×
healthy blue11$617.01$617.01$617.011.0×
christian county health dept-cchd11$157.68$157.68$157.681.0×
trillium11$635.68$635.68$635.681.0×
carolina complete11$617.01$617.01$617.011.0×
beacon health11$157.68$157.68$157.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$2,562.71$794.45$157.68$754.16$2,440.98
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY6$467$280.2$195.02$195.02$321.78
MIDDLESBORO ARHMIDDLESBOROKY6$467$280.2$195.02$195.02$321.78
HAZARD ARHHAZARDKY6$467$280.2$157.68$195.02$321.78
WHITESBURG ARHWHITESBURGKY6$467$280.2$157.68$195.02$222.29
TUG VALLEY ARHSOUTH WILLIAMSONKY7$467$280.2$157.68$195.02$321.78
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY5$467$280.2$157.68$195.02$222.29
BAPTIST HEALTH LEXINGTONLEXINGTONKY23$3,275$1,637.5$617.01$1,445.92$3,026.1
SPRING VIEW HOSPITALLEBANONKY0$6,800.1$2,720.04

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.