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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$2,107.98
Median
$2,781.96
Max
$5,399.00
Range multiplier
2.6×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$803.04$1,058.87$1,977.562.5×
UnitedHealthcare536$803.04$2,810.64$5,399.006.7×
govt employees health assn [3081090]424$1,892.88$2,810.64$2,810.641.5×
medica (commercial) 94265 [3081118]424$2,380.44$2,810.64$2,810.641.2×
Cigna424$2,753.28$2,839.32$2,839.321.0×
Blue Cross Blue Shield423$823.12$2,552.52$5,399.006.6×
healthpartners [3081368]421$906.00$2,810.64$2,810.643.1×
risk admin svs [3081167]416$329.28$1,311.84$2,294.407.0×
Meritain Health416$2,753.28$2,839.32$2,839.321.0×
national telephone cooperative assn 52103 [3081149]416$1,892.88$2,810.64$2,810.641.5×
Aetna412$2,581.20$2,652.90$2,724.601.1×
Humana59$2,581.20$2,868.00$5,399.002.1×
tlc advantage llc [3081189]59$2,695.92$2,695.92$2,808.721.0×
midlands choice 47080 [3081136]48$2,753.28$2,839.32$2,839.321.0×
allied benefit systems inc [3081320]48$2,753.28$2,839.32$2,839.321.0×
avera health plans 46045 [3081018]48$2,107.98$2,781.96$2,781.961.3×
coresource 38225 [3081146]48$1,864.20$2,581.20$2,581.201.4×
employee benefit management 12x44 [3081079]48$2,437.80$2,581.20$2,581.201.1×
fedmed inc [3081283]48$2,724.60$2,781.96$2,781.961.0×
health partners sx009 [3081102]48$1,778.16$2,810.64$2,810.641.6×
key benefit administrators [3081332]48$2,753.28$2,839.32$2,839.321.0×
pacificsource health plans [3081333]48$2,437.80$2,581.20$2,581.201.1×
preferred one 41147 [3081160]48$2,753.28$2,839.32$2,839.321.0×
rocky mountain admin llc 83028 [3081168]48$2,294.40$2,581.20$2,581.201.1×
sanford health plan 91184 [3081174]48$2,581.20$2,781.96$2,781.961.1×
surest [3081369]48$1,892.88$2,810.64$2,810.641.5×
Multiplan24$2,581.20$2,681.58$2,781.961.1×
group and pension administrators inc [3081098]24$2,581.20$2,681.58$2,781.961.1×
Medicare44$803.04$932.10$5,399.006.7×
triwest healthcare alliance [3081322]33$803.04$803.04$1,061.161.3×
va black hills health care system 12115 [3081206]33$803.04$803.04$1,061.161.3×
va black hills health care system 12115 [3081207]33$803.04$803.04$1,061.161.3×
VA Health33$803.04$803.04$1,061.161.3×
Health Net33$803.04$803.04$1,061.161.3×
va ccn optum [3081339]33$803.04$803.04$1,061.161.3×
minnesota health care programs 12k16 [3081295]12$869.00$869.00$869.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Spearfish HospitalSpearfishSD5$2,988.00$2,988.00$2,808.72$5,399.00$5,399.00
Monument Health Custer HospitalCusterSD35$2,868.00$2,868.00$329.28$2,810.64$2,868.00
Monument Health Lead-Deadwood HospitDeadwoodSD33$2,868.00$2,868.00$329.28$2,781.96$2,868.00
Monument Health Sturgis RegionalSturgisSD33$2,868.00$2,868.00$329.28$2,781.96$2,868.00
Monument Health Rapid City HospitalRapid CitySD28$2,868.00$2,868.00$329.28$2,107.98$2,753.28

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.