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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$318.49
Median
$806.97
Max
$1,124.00
Range multiplier
3.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield13115$263.66$839.25$10,81641.0×
UnitedHealthcare1259$107.59$806.97$4,243.0039.4×
Medicare932$195.61$798.90$847.324.3×
Humana1229$195.61$795.34$845.484.3×
Aetna1124$195.61$811.25$1,877.709.6×
Cigna524$195.61$994.59$1,610.788.2×
amerigroup mcr replacement822$326.00$326.00$831.182.5×
Ambetter1119$273.85$1,033.94$1,183.674.3×
Medicare Advantage818$771.58$806.97$806.971.0×
smart health714$1,113.48$1,129.76$1,129.761.0×
optum va714$795.34$806.97$806.971.0×
nhc advantage714$795.34$806.97$806.971.0×
centurion of tn714$795.34$806.97$806.971.0×
healthspring mcr replacement714$795.34$806.97$806.971.0×
point comfort underwriters714$715.81$726.27$726.271.0×
ascension complete612$795.34$801.16$806.971.0×
Medicaid111$51.00$657.46$900.0017.6×
wellpoint39$367.50$807.87$807.872.2×
farm bureau48$199.52$773.47$862.394.3×
TRICARE57$769.40$774.69$793.791.0×
Oscar Health77$1,113.48$1,129.76$1,129.761.0×
Self-Pay (Cash)77$795.34$806.97$806.971.0×
devoted health36$807.87$807.87$807.871.0×
triwest va pccc36$806.97$806.97$806.971.0×
WellCare45$195.61$807.87$845.484.3×
community plan44$232.88$232.88$232.881.0×
Molina14$657.46$739.65$821.831.3×
galaxy health network33$1,188.00$1,188.00$1,188.001.0×
initial group33$1,161.60$1,161.60$1,161.601.0×
community services network33$858.00$858.00$858.001.0×
direct care america33$1,056.00$1,056.00$1,056.001.0×
ehn33$594.00$594.00$594.001.0×
correctional medical services33$792.00$792.00$792.001.0×
ccn managed care33$1,122.00$1,122.00$1,122.001.0×
medsave usa33$1,056.00$1,056.00$1,056.001.0×
national provider network33$1,056.00$1,056.00$1,056.001.0×
novanet33$990.00$990.00$990.001.0×
optum33$769.40$769.40$769.401.0×
beech street33$1,122.00$1,122.00$1,122.001.0×
amerigroup23$171.16$739.80$750.484.4×
usa managed care organization33$924.00$924.00$924.001.0×
upmc12$195.61$520.55$845.484.3×
americhoice mcr replacement12$758.55$778.73$798.901.1×
carecentrix [450200]12$771.58$771.58$771.581.0×
devoted health [450111]12$794.73$794.73$794.731.0×
blue12$195.61$520.55$845.484.3×
va hospital [600005]12$771.58$771.58$771.581.0×
provider network of america12$332.54$884.93$1,437.324.3×
amerivantage12$171.16$455.48$739.804.3×
transplant optum tenncare [350013]12$599.00$725.00$851.001.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Roane County Medical CenterHarrimanTN24$1,320.00$409.20$367.50$807.87$3,947.00
Morristown-Hamblen HospitalMorristownTN24$1,320.00$409.20$367.50$807.87$3,947.00
Fort Loudoun Medical CenterLenoir CityTN24$1,320.00$422.40$367.50$807.87$3,947.00
Saint Thomas Midtown HospitalNashvilleTN20$365.31$806.97$1,129.76
Saint Thomas Rutherford HospitalMurfreesboroTN18$3,253.40$976.02$326.00$806.97$1,483.00
Saint Thomas West HospitalNashvilleTN18$3,253.40$976.02$326.00$806.97$1,483.00
Saint Thomas Stones River HospitalWoodburyTN18$3,253.40$976.02$232.88$806.97$1,483.00
St Thomas Dekalb HospitalSmithvilleTN18$3,253.40$976.02$232.88$795.34$1,483.00
Ascension St Thomas River ParkMcminnvilleTN19$4,609.20$1,382.76$232.88$795.34$1,483.00
Saint Thomas Highland HospitalSpartaTN18$3,253.40$976.02$232.88$795.34$1,483.00
Methodist H/C Memphis Hospt.MemphisTN15$31,018$6,823.86$51.00$771.58$10,816
Metro Nashville General HospitalNashvilleTN19$3,414.00$2,048.40$107.59$318.49$1,877.70
St Thomas Hickman HospitalCentervilleTN2$326.00$1,124.00$1,483.00
Big South Fork Medical CenterOneidaTN0$2,819.00$845.64
St Thomas AscensionNashvilleTN0$5,144.49$1,270.69

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.