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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$66.30
Median
$66.30
Max
$195.84
Range multiplier
3.0×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1782$42.93$66.30$262.206.1×
UnitedHealthcare1978$25.76$112.29$343.3613.3×
medica461$29.12$195.84$264.969.1×
Aetna1647$42.93$97.82$301.497.0×
midlands choice429$42.00$198.72$348.008.3×
millard public schools224$195.84$198.72$264.961.4×
greater omaha packing224$195.84$198.72$264.961.4×
one world224$195.84$198.72$264.961.4×
Humana1620$42.93$45.08$118.682.8×
Cigna1618$89.40$89.40$308.793.5×
phcs316$39.76$202.86$348.008.8×
quiktrip316$33.60$198.72$278.408.3×
Multiplan316$47.60$202.86$394.408.3×
health partners open network1414$82.82$82.82$82.821.0×
amerigroup212$74.97$91.46$124.621.7×
timpte212$195.84$198.72$264.961.4×
Centene311$8.40$89.48$121.0614.4×
Molina1111$43.79$43.79$74.001.7×
amerivantage1111$42.93$45.08$45.081.1×
bc illinois community28$109.66$140.40$159.961.5×
amps26$158.51$196.18$263.471.7×
great plains26$74.97$92.79$124.621.7×
pace26$71.40$88.37$118.681.7×
iamolina26$91.23$92.58$123.431.4×
healthpartners14$74.00$183.38$273.753.7×
Anthem BCBS14$66.00$198.63$310.254.7×
common ground13$65.00$65.00$65.001.0×
total care13$89.48$90.80$121.061.4×
wisconsin physician service13$90.00$95.00$95.001.1×
meridian health plan22$45.08$45.08$45.081.0×
elap12$15.68$72.80$129.928.3×
Ambetter22$42.93$42.93$42.931.0×
health eos plus12$219.00$219.00$219.001.0×
health eos12$292.00$292.00$292.001.0×
health alliance22$42.93$42.93$42.931.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
iowa health11$45.08$45.08$45.081.0×
medical associates health plan11$75.13$75.13$75.131.0×
meridian11$45.08$45.08$45.081.0×
health partners11$76.90$76.90$76.901.0×
everpointe elite11$75.00$75.00$75.001.0×
dean health plan11$153.64$153.64$153.641.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$365.00$182.50$65.00$93.00$310.25
Broadlawns Medical CenterDes MoinesIA7$199.00$199.00$76.53$86.04$199.00
The Finley HospitalDubuqueIA12$167.00$133.60$42.93$78.98$159.96
Chi Health Mercy Council BluffsCouncil BluffsIA8$464.00$194.88$8.40$75.91$394.40
St. Lukes Methodist HospitalCedar RapidsIA8$167.00$133.60$42.93$66.30$112.29
Iowa Methodist Medical CenterDes MoinesIA8$167.00$133.60$42.93$66.30$112.29
Trinity BettendorfBettendorfIA9$167.00$133.60$42.93$66.30$112.29
Allen Memorial HospitalWaterlooIA8$167.00$133.60$42.93$66.30$112.29
Unitypoint Health-MarshalltownMarshalltownIA8$167.00$133.60$42.93$66.30$112.29
Trinity MuscatineMuscatineIA10$167.00$133.60$42.93$66.30$159.96
Trinity Regional Medical CenterFort DodgeIA6$167.00$133.60$42.93$66.30$112.29
Iowa Lutheran HospitalDes MoinesIA8$167.00$133.60$42.93$66.30$112.29
St. Lukes Regl Medical CenterSioux CityIA8$167.00$133.60$42.93$66.30$112.29
Grinnell Regional Medical CenterGrinnellIA8$167.00$133.60$42.93$66.30$112.29
Grundy County Mem. HospitalGrundy CenterIA8$167.00$133.60$42.93$66.30$112.29
Jones Regional Medical CtrAnamosaIA8$167.00$133.60$42.93$66.30$112.29
Community Mem. Hospt. SummerSumnerIA8$167.00$133.60$42.93$66.30$112.29
Chi Health - Missouri ValleyMissouri ValleyIA19$276.00$135.24$71.40$195.84$270.48
Chi Health Mercy CorningCorningIA18$276.00$132.48$87.72$195.84$270.48
Mitchell County Regional Health CentOsageIA0$177.90$160.11
Greene County Medical CenterJeffersonIA0$204.00$114.24
Stewart Memorial HospitalLake CityIA0$231.00$184.00
Spencer Municipal HospitalSpencerIA0$225.80$169.35
Story County HospitalNevadaIA0$328.00$262.40
Peoples Memorial HospitalIndependenceIA0$311.24$264.55
Mercy Hospital Iowa CityIowa CityIA0$169.00$81.12
Regional Health Services Of Howard CCrescoIA0$530.00
Loring HospitalSac CityIA0$215.00$172.00

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.