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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$174.31 – $1,206.74

Negotiated median

$375.92

CPT 99283 ED visit level 3 · Showing 200 of 449 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
BAPTIST HEALTH LEXINGTON	KY	Aetna	Broad Network	outpatient	negotiated	$1,206.74
BAPTIST HEALTH LEXINGTON	KY	Multiplan	Managed Care	outpatient	negotiated	$1,175.4
BAPTIST HEALTH LEXINGTON	KY	national provider network	Commercial	outpatient	negotiated	$1,175.4
BAPTIST HEALTH LEXINGTON	KY	national provider network	Commercial	inpatient	negotiated	$1,175.4
BAPTIST HEALTH LEXINGTON	KY	Multiplan	Managed Care	inpatient	negotiated	$1,175.4
BAPTIST HEALTH LEXINGTON	KY	Humana	Managed Care	outpatient	negotiated	$1,149.28
BAPTIST HEALTH LEXINGTON	KY	beechstreet	Managed Care	outpatient	negotiated	$1,149.28
BAPTIST HEALTH LEXINGTON	KY	beechstreet	Managed Care	inpatient	negotiated	$1,149.28
BAPTIST HEALTH LEXINGTON	KY	Humana	Managed Care	inpatient	negotiated	$1,149.28
BAPTIST HEALTH LEXINGTON	KY	Aetna	Managed Care	outpatient	negotiated	$1,133.61
BAPTIST HEALTH LEXINGTON	KY	Aetna	Managed Care	inpatient	negotiated	$1,133.61
BAPTIST HEALTH LEXINGTON	KY	private healthcare systems	Managed Care	inpatient	negotiated	$1,070.92
BAPTIST HEALTH LEXINGTON	KY	private healthcare systems	Managed Care	outpatient	negotiated	$1,070.92
BAPTIST HEALTH LEXINGTON	KY	healthgram	Managed Care	outpatient	negotiated	$1,044.8
BAPTIST HEALTH LEXINGTON	KY	healthgram	Managed Care	inpatient	negotiated	$1,044.8
BAPTIST HEALTH LEXINGTON	KY	Aetna	NC+ Preferred	outpatient	negotiated	$989.95
BAPTIST HEALTH LEXINGTON	KY	healthgram lexington home brands	Managed Care	inpatient	negotiated	$940.32
BAPTIST HEALTH LEXINGTON	KY	healthgram lexington home brands	Managed Care	outpatient	negotiated	$940.32
BAPTIST HEALTH LEXINGTON	KY	medcost	MBS and Leased Managed Care	inpatient	negotiated	$873.71
BAPTIST HEALTH LEXINGTON	KY	medcost	MBS and Leased Managed Care	outpatient	negotiated	$848.9
BAPTIST HEALTH LEXINGTON	KY	Aetna	Whole Health	outpatient	negotiated	$846.29
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$825
BAPTIST HEALTH LEXINGTON	KY	directnet	Managed Care	inpatient	negotiated	$771.85
BAPTIST HEALTH LEXINGTON	KY	directnet	Managed Care	outpatient	negotiated	$771.85
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$700
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	inpatient	negotiated	$640.03
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$640.03
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	inpatient	negotiated	$604.76
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	outpatient	negotiated	$604.76
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	Managed Care	outpatient	negotiated	$585.09
BAPTIST HEALTH LEXINGTON	KY	Cigna	Managed Care	inpatient	negotiated	$578.56
BAPTIST HEALTH LEXINGTON	KY	oscar	Managed Care	inpatient	negotiated	$574.64
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	outpatient	negotiated	$571.16
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	inpatient	negotiated	$571.16
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	outpatient	negotiated	$571.16
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	inpatient	negotiated	$571.16
BAPTIST HEALTH LEXINGTON	KY	Cigna	Managed Care	outpatient	negotiated	$568.11
MARY BRECKINRIDGE HOSPITAL	KY	Aetna	Commercial	both	negotiated	$554.4
BARBOURVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$554.4
MARY BRECKINRIDGE HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$550.81
BARBOURVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$550.81
MARY BRECKINRIDGE HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$523.28
BARBOURVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$523.28
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	IEX Individual	outpatient	negotiated	$513.26
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	outpatient	negotiated	$506.58
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	inpatient	negotiated	$506.58
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	outpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	outpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	inpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	inpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	inpatient	negotiated	$506.38
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	inpatient	negotiated	$506.38
BAPTIST HEALTH LEXINGTON	KY	medcost	Ultra Managed Care	outpatient	negotiated	$489.75
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	outpatient	negotiated	$466.06
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	inpatient	negotiated	$466.06
HAZARD ARH	KY	Aetna	Commercial	both	negotiated	$457.2
HARLAN ARH	KY	Aetna	Commercial	inpatient	negotiated	$453.84
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$447.44
MIDDLESBORO ARH	KY	Aetna	Commercial	inpatient	negotiated	$446.4
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$444.14
BAPTIST HEALTH LEXINGTON	KY	medcost	Ultra Managed Care	inpatient	negotiated	$441.43
HARLAN ARH	KY	Aetna	Commercial	outpatient	negotiated	$439.2
MIDDLESBORO ARH	KY	Aetna	Commercial	outpatient	negotiated	$432
WHITESBURG ARH	KY	Aetna	Commercial	inpatient	negotiated	$430.59
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$426.66
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$426.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$426.66
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	Blue Value	outpatient	negotiated	$425.63
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$421.94
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$421.81
TUG VALLEY ARH	KY	Aetna	Commercial	both	negotiated	$420.3
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$419.66
BAPTIST HEALTH LEXINGTON	KY	oscar	Managed Care	outpatient	negotiated	$417.92
WHITESBURG ARH	KY	Aetna	Commercial	outpatient	negotiated	$416.7
MARY BRECKINRIDGE HOSPITAL	KY	caresoure kentucky	Commercial	outpatient	negotiated	$409.5
BARBOURVILLE ARH HOSPITAL	KY	caresoure kentucky	Commercial	outpatient	negotiated	$409.5
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$408.3
OUR LADY OF THE WAY	KY	Aetna	Commercial	both	negotiated	$407.44
MORGAN CO. ARH	KY	Aetna	Commercial	both	negotiated	$407.44
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$407.44
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$405.33
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$405.33
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$405.33
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$404.8
MORGAN CO. ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$404.8
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$404.8
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$398.69
OUR LADY OF THE WAY	KY	Anthem BCBS	Commercial	outpatient	negotiated	$392.3
BAPTIST HEALTH LEXINGTON	KY	Aetna	IVL Exchange	outpatient	negotiated	$390.49
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$387.89
MORGAN CO. ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$384.57
OUR LADY OF THE WAY	KY	Anthem BCBS	Commercial	outpatient	negotiated	$384.57
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$384.57
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$384.57
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$383.46
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	HPN	outpatient	negotiated	$376.78
HAZARD ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$375.92
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$375.92
BAPTIST HEALTH LEXINGTON	KY	Ambetter	Managed Care	outpatient	negotiated	$374.82
BAPTIST HEALTH LEXINGTON	KY	Aetna	IVL Exchange	inpatient	negotiated	$370.9
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$366
HARLAN ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$364.05
HARLAN ARH	KY	umr	Commercial	outpatient	negotiated	$364.05
BAPTIST HEALTH LEXINGTON	KY	medcost	Employee Managed Care	outpatient	negotiated	$363.07
BAPTIST HEALTH LEXINGTON	KY	amerihealth	Managed Care	outpatient	negotiated	$358.89
MIDDLESBORO ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$357.6
MIDDLESBORO ARH	KY	umr	Commercial	outpatient	negotiated	$357.6
WHITESBURG ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$353.73
WHITESBURG ARH	KY	umr	Commercial	outpatient	negotiated	$353.73
MORGAN CO. ARH	KY	umr	Commercial	outpatient	negotiated	$346.32
MORGAN CO. ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$346.32
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$345.12
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$344.47
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$344.47
MARY BRECKINRIDGE HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$340.2
MARY BRECKINRIDGE HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$340.2
TUG VALLEY ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$334.84
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$334.84
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$304.8
OUR LADY OF THE WAY	KY	caresoure kentucky	Commercial	outpatient	negotiated	$300.95
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$300.95
MORGAN CO. ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$300.95
HARLAN ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$292.8
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	outpatient	negotiated	$292.8
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$288
BAPTIST HEALTH LEXINGTON	KY	medcost	Employee Managed Care	inpatient	negotiated	$286.01
BARBOURVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$280.98
BARBOURVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$280.98
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$280.2
BAPTIST HEALTH LEXINGTON	KY	Blue Cross Blue Shield	Blue Local Individual	outpatient	negotiated	$278.18
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$277.8
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$268.42
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$256.69
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$256.69
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$255.64
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$255.64
HARLAN ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$254.3
HARLAN ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$254.3
HARLAN ARH	KY	Humana	Medicare	outpatient	negotiated	$254.3
HARLAN ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$254.3
HARLAN ARH	KY	Aetna	Medicare	outpatient	negotiated	$254.3
HARLAN ARH	KY	WellCare	Medicare	outpatient	negotiated	$254.3
HARLAN ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$254.3
BAPTIST HEALTH LEXINGTON	KY	trillium	Medicaid Tailored Plan	outpatient	negotiated	$253.49
BAPTIST HEALTH LEXINGTON	KY	alliance	Medicaid Tailored Plan	outpatient	negotiated	$251.01
BAPTIST HEALTH LEXINGTON	KY	UnitedHealthcare	Medicaid Managed Care	outpatient	negotiated	$248.53
BAPTIST HEALTH LEXINGTON	KY	vaya	Medicaid Tailored Plan	outpatient	negotiated	$248.53
BAPTIST HEALTH LEXINGTON	KY	WellCare	Medicaid Managed Care	outpatient	negotiated	$248.53
BAPTIST HEALTH LEXINGTON	KY	healthy blue	Medicaid Managed Care	outpatient	negotiated	$246.05
BAPTIST HEALTH LEXINGTON	KY	partners	Medicaid Tailored Plan	outpatient	negotiated	$246.05
BAPTIST HEALTH LEXINGTON	KY	amerihealth	Medicaid Managed Care	outpatient	negotiated	$246.05
BAPTIST HEALTH LEXINGTON	KY	carolina complete	Medicaid Managed Care	outpatient	negotiated	$246.05
WHITESBURG ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
HAZARD ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
MCDOWELL ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
MIDDLESBORO ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
MARY BRECKINRIDGE HOSPITAL	KY	WellCare	Medicaid	outpatient	negotiated	$240
MORGAN CO. ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
TUG VALLEY ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
HARLAN ARH	KY	WellCare	Medicaid	outpatient	negotiated	$240
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$235.19
HAZARD ARH	KY	WellCare	Medicare	outpatient	negotiated	$225.02
HAZARD ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$225.02
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$225.02
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$225.02
HAZARD ARH	KY	Humana	Medicare	outpatient	negotiated	$225.02
HAZARD ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$225.02
HAZARD ARH	KY	Aetna	Medicare	outpatient	negotiated	$225.02
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$217.16
HIGHLANDS REGIONAL MEDICAL CENTER	KY	umr	Commercial	outpatient	negotiated	$217.16
HIGHLANDS REGIONAL MEDICAL CENTER	KY	WellCare	Medicare	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Humana	Medicare	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$206.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	outpatient	negotiated	$206.66
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicaid	outpatient	negotiated	$191.74
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	outpatient	negotiated	$191.51
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	inpatient	negotiated	$191.51
MIDDLESBORO ARH	KY	Aetna	Medicare	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	WellCare	Medicare	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	Humana	Medicare	outpatient	negotiated	$189.8
MIDDLESBORO ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$189.8
BARBOURVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$182.7
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	outpatient	negotiated	$174.31
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$174.31
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$174.31
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	outpatient	negotiated	$174.31
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$174.31

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).