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Critical care, first hour

CPT 99291 · negotiated-rate distribution across hospitals in WA

Hospitals

Min

$178.71

Median

$668.7

Max

$2,362.44

Range multiplier

13.2×

By payer (50 payers with published rates)

Payer	Hosp.	Rates	Min	Median	Max	Range×
Blue Cross Blue Shield	2	23	$318.59	$685.24	$2,916	9.2×
UnitedHealthcare	2	14	$139.51	$444.92	$2,916	20.9×
Molina	2	8	$146.79	$352.59	$2,289.26	15.6×
Medicare Advantage	1	6	$217.04	$343.16	$1,109.02	5.1×
Kaiser Permanente	2	5	$330.21	$439.95	$2,916	8.8×
Cigna	2	5	$339.54	$444.12	$2,916	8.6×
Humana	2	5	$213.06	$336.87	$1,068.32	5.0×
Aetna	3	5	$171.25	$668.7	$2,926.48	17.1×
chp advantage [4001]	1	4	$248.9	$321.22	$1,271.81	5.1×
Ambetter	1	4	$563.54	$644.98	$2,592	4.6×
Multiplan	2	4	$160.05	$186.61	$3,110.4	19.4×
community health network of wa [1055]	1	4	$368.37	$475.41	$1,882.28	5.1×
asuris truadvantage [4011]	1	4	$217.04	$280.1	$1,109.02	5.1×
personify health [140193]	1	3	$160.05	$160.05	$213.16	1.3×
chp [6000]	1	3	$151.64	$151.64	$198.6	1.3×
providence health [130125]	1	3	$339.54	$339.54	$444.12	1.3×
great west [190102]	1	3	$339.54	$339.54	$444.12	1.3×
coordinated care [6007]	1	3	$151.03	$151.03	$197.81	1.3×
bh optum health medadvantage [210117]	1	3	$223.03	$223.03	$365.32	1.6×
pacific source administrators [8010]	1	2	$668.7	$1,792.35	$2,916	4.4×
mid west natl life [8006]	1	2	$668.7	$1,792.35	$2,916	4.4×
pacific source [8008]	1	2	$668.7	$1,792.35	$2,916	4.4×
mva state farm [1028]	1	2	$713.28	$1,911.84	$3,110.4	4.4×
mva progressive [1027]	1	2	$713.28	$1,911.84	$3,110.4	4.4×
mega life [8005]	1	2	$668.7	$1,792.35	$2,916	4.4×
mutual of omaha [8007]	1	2	$668.7	$1,792.35	$2,916	4.4×
wellpoint [6009]	1	2	$289.77	$776.69	$1,263.6	4.4×
first choice [8009]	1	2	$668.7	$1,792.35	$2,916	4.4×
first choice generic [8999]	1	2	$668.7	$1,792.35	$2,916	4.4×
First Health	1	2	$668.7	$1,792.35	$2,916	4.4×
ameriben [8000]	1	2	$668.7	$1,792.35	$2,916	4.4×
welfare pension administration services [150105]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
zenith admin [150106]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
zzjohn alden [150117]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
zzprincipal financial group [150128]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
zzprovidence [150129]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
benefit md [150113]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
carpenters trust [150122]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
cement masons and plasterers [150127]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
coresource [150109]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
employee benefit management services [150108]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
fc moda health [150139]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
first choice [150134]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
first choice health administrators [150110]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
first choice health comp [150112]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
first choice umr [150138]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
GEHA	1	1	$2,916	$2,916	$2,916	1.0×
Health Net	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
here [150114]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×
hotel employees health trust [150115]	1	1	$2,451.89	$2,451.89	$2,451.89	1.0×

By hospital (top 200 by negotiated median, descending)

Hospital	City	ST	Payers	Gross	Cash	Neg min	Neg median	Neg max
WENATCHEE VALLEY HOSPITAL	WENATCHEE	WA	29	$3,240	$2,916	$139.51	$668.7	$3,110.4
VALLEY MEDICAL CENTER	RENTON	WA	44	$14,729	$10,310	$160.05	$2,362.44	$2,926.48
EAST ADAMS RURAL HOSPITAL	RITZVILLE	WA	2	$467	$280.2	$162.39	$178.71	$195.02
KFH - WASHINGTON	SEATTLE	WA	0	—	—	—	—	—

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.