ED visit level 1 in Kentucky
What Kentucky hospitals charge for ed visit level 1 (CPT 99281). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
456
Neg. median
$66.51
Min
$10.67
Max
$825
Cash median
$66.6
Across 15 Kentucky hospitals, the negotiated rate for ED visit level 1 ranges from $10.67 to $825, with a median of $66.51. The interquartile range is $33.38 to $97.05. Cash-pay patients typically pay $66.6; gross charges median $111.
By payer in Kentucky
Top 30 payers for ED visit level 1 in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 14 | 53 | $80.87 |
| Humana | 14 | 36 | $37.94 |
| WellCare | 14 | 29 | $50 |
| UnitedHealthcare | 13 | 32 | $72.35 |
| Anthem BCBS | 13 | 58 | $81.08 |
| optum ccn region 1 | 12 | 13 | $46.75 |
| optum ccn region 2 | 12 | 13 | $46.75 |
| Molina | 12 | 13 | $19.46 |
| umr | 11 | 12 | $77.11 |
| caresoure kentucky | 11 | 12 | $66.3 |
| Cigna | 2 | 6 | $173.85 |
| Multiplan | 2 | 4 | $277.23 |
| directnet | 1 | 2 | $234.04 |
| First Health | 1 | 2 | $198.05 |
| healthgram | 1 | 2 | $316.8 |
| healthgram lexington home brands | 1 | 2 | $285.12 |
| healthy blue | 1 | 1 | $74.61 |
| vaya | 1 | 1 | $75.36 |
| medcost | 1 | 6 | $141.18 |
| national provider network | 1 | 2 | $356.4 |
| oscar | 1 | 2 | $150.48 |
| partners | 1 | 1 | $74.61 |
| private healthcare systems | 1 | 2 | $324.72 |
| the health plan | 1 | 2 | $35.45 |
| trillium | 1 | 1 | $76.86 |
| va community care network | 1 | 2 | $45.98 |
| alliance | 1 | 1 | $76.11 |
| Ambetter | 1 | 1 | $113.65 |
| alliance coal | 1 | 2 | $67.37 |
| amerigroup | 1 | 2 | $45.98 |
Hospital comparison — ED visit level 1 in Kentucky
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mcdowell Arh | Mcdowell | $17.69 | $58.2 | $97 |
| Our Lady Of The Way | Martin | $20.4 | $61.2 | $102 |
| Morgan Co. Arh | West Liberty | $22.15 | $61.2 | $102 |
| Mary Breckinridge Hospital | Hyden | $40.48 | $141.6 | $236 |
| Barbourville Arh Hospital | Barbourville | $40.72 | $141.6 | $236 |
| Whitesburg Arh | Whitesburg | $46.75 | $61.2 | $102 |
| Tug Valley Arh | South Williamson | $50.91 | $61.2 | $102 |
| Paintsville Arh Hospital | Paintsville | $55.43 | $66.6 | $111 |
| Middlesboro Arh | Middlesboro | $60.36 | $63.6 | $106 |
| Highlands Regional Medical Center | Prestonsburg | $65.72 | $66.6 | $111 |
| Hazard Arh | Hazard | $71.56 | $67.2 | $112 |
| Harlan Arh | Harlan | $80.87 | $66.6 | $111 |
| Jennie Stuart Medical Center | Hopkinsville | $115.85 | $72.23 | $233 |
| Baptist Health Lexington | Lexington | $174.84 | $198 | $396 |
| Spring View Hospital | Lebanon | — | $262.87 | $500 |