Summit Regional Medical Center — 310-bed Community Hospital
| Payer Name | Contract Tier | Volume YTD | Tier Target | % to Target | Days to Renewal | Avg Reimb Rate | Underpayment % | Recovery $ |
|---|---|---|---|---|---|---|---|---|
| Anthem BCBS | Tier 1 | 14,053 | 15,000 | 94% | 47 | 53.2% | 2.1% | $84,200 |
| UnitedHealthcare | Tier 2 | 9,240 | 12,000 | 77% | 82 | 48.7% | 4.8% | $62,100 |
| Aetna Commercial | Tier 1 | 5,820 | 5,000 | 116% | 122 | 55.8% | 1.4% | $38,400 |
| Cigna | Tier 2 | 3,680 | 4,500 | 82% | 210 | 51.3% | 3.6% | $21,800 |
| Humana | Tier 1 | 4,120 | 3,800 | 108% | 156 | 52.6% | 1.9% | $29,600 |
| Medicare Advantage | Standard | 6,840 | — | — | — | 44.2% | 2.8% | $41,300 |
| Medicaid MCO | State Contract | 8,920 | — | — | — | 28.4% | 6.2% | $18,200 |
| Medicaid FFS | State Rate | 4,460 | — | — | — | 24.1% | 8.4% | $8,900 |