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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in MO

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Hospitals
16
Min
$2,453.1
Median
$3,548.26
Max
$4,451.85
Range multiplier
1.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield856$794.34$3,292.05$5,962.117.5×
Aetna846$771.21$2,817.29$5,410.717.0×
Cigna833$863.83$3,019.2$4,081.784.7×
UnitedHealthcare828$66$1,879$5,091.7877.1×
allied benefits [498]722$2,188.92$2,877.64$5,410.712.5×
cox health systems insurance company [220]721$2,075.7$2,517.45$4,454.452.1×
healthlink [225]721$1,830.39$2,924.12$5,174.022.8×
consociate [478]720$1,380$2,099.17$3,714.332.7×
healthscope benefits [258]718$66$2,175.55$5,479.283.0×
Humana816$771.21$874.97$5,102.516.6×
phcs [244]714$2,830.5$3,098.4$5,482.41.9×
unicare [568]714$2,453.1$2,924.12$5,174.022.1×
med-pay [480]714$2,453.1$2,904.75$5,139.752.1×
sarah bush lincoln [636]712$66$2,095.3$3,714.3356.3×
nalc health benefit plan [242]78$1,530$2,660.75$3,981.592.6×
coresource [497]78$2,275.72$3,223.61$5,410.712.4×
mail handlers [495]78$2,275.72$3,223.61$5,410.712.4×
Multiplan88$2,082.26$2,904.75$5,139.752.5×
apwu health plan [216]78$1,530$2,660.75$3,981.592.6×
priority health [648]78$1,530$2,660.75$3,981.592.6×
First Health88$2,804.08$3,556.85$5,091.781.8×
fmh benefit service inc [222]78$2,275.72$3,223.61$5,410.712.4×
health systems inc [620]77$2,830.5$2,904.75$5,139.751.8×
detego health [868]77$2,830.5$2,904.75$5,139.751.8×
medica [661]77$3,019.2$3,098.4$5,482.41.8×
cox health [757]77$853.63$868.73$930.411.1×
beechstreet [551]77$2,830.5$2,904.75$5,139.751.8×
essence healthcare [221]77$812.98$852.06$886.111.1×
preferred health professionals [561]77$2,849.37$2,924.12$5,174.021.8×
health alliance [224]77$2,075.7$2,130.15$4,794.32.3×
healthcare sol mercy [609]77$2,830.5$2,904.75$5,139.751.8×
hope trust [806]77$2,188.92$2,246.34$3,974.741.8×
hfn [563]77$3,019.2$3,098.4$5,821.651.9×
medica [662]77$853.63$868.73$930.411.1×
devoted health plan [847]66$863.83$899.57$935.331.1×
mercy behavioral health [573]33$1,197$1,197$1,1971.0×
php [503200005]13$3,856.8$3,894.08$4,750.291.2×
Workers Comp13$771.21$4,821$6,106.67.9×
Medicare23$771.21$786.63$863.831.1×
alt wppa [5032000964]12$1,542.42$2,718.25$3,894.082.5×
mh magellan health services [270]22$6,853$6,853$6,8531.0×
6 degrees health [503999050]12$1,503.86$1,715.94$1,928.021.3×
centivo [5032000982]12$1,465.29$1,465.29$1,465.291.0×
healthlink [503200007]12$3,894.08$4,322.19$4,750.291.2×
ku athletics [503200094]11$771.21$771.21$771.211.0×
accarent health [503999034]11$3,214$3,214$3,2141.0×
advanced medical pricing solutions [503301513]11$2,313.62$2,313.62$2,313.621.0×
aha-healthcare preferred [503200050]11$4,236.05$4,236.05$4,236.051.0×
allied national [503999937]11$3,856.8$3,856.8$3,856.81.0×
allwell [503200078]11$794.34$794.34$794.341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. LOUIS CHILDRENS HOSPITALST. LOUISMO34$6,849$4,109.4$812.98$4,451.85$5,821.65
BARNES JEWISH ST. PETERS HOSPITALST. PETERSMO36$6,853$4,111.8$66$4,111.8$6,853
PROGRESS WEST HOSPITALOFALLONMO36$6,853$4,111.8$66$4,111.8$6,853
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO57$6,428$1,285.6$771.21$3,548.26$6,106.6
MISSOURI BAPTIST HOSPITAL SULLIVANSULLIVANMO36$3,873$2,323.8$852.06$2,517.45$3,369.51
MISSOURI BAPTIST SULLIVAN HOSPITALSULLIVANMO36$3,873$2,323.8$852.06$2,517.45$3,369.51
PARKLAND HEALTH CENTER - FARMINGTONFARMINGTONMO35$3,873$2,323.8$886.11$2,517.45$3,369.51
PARKLAND HLTH CTR - BONNE TERREBONNE TERREMO37$3,774$2,264.4$863.83$2,453.1$3,306.02
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0$4,464.23$1,424.09
COX-MONETT HOSPITALMONETTMO0$4,464.23$1,361.59
COX MEDICAL CENTER BRANSONBRANSONMO0$4,464.23$1,013.38
MOBERLY REGIONAL MEDICAL CENTERMOBERLYMO0$20,155$9,674.59
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$3,525$881.25
NORTHEAST REGIONAL MEDICAL CENTERKIRKSVILLEMO0$11,771$6,474.22
COXHEALTHSPRINGFIELDMO0$12,561$3,165.38
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$2,020$1,010

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.