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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in OH

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Hospitals
11
Min
$34
Median
$50.22
Max
$112.46
Range multiplier
3.3×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS325$13.6$60.2$87.716.4×
UnitedHealthcare420$13.88$63.25$190.413.7×
Aetna519$13.88$49.44$186.1813.4×
Medicare218$34.65$34.65$41.531.2×
healthsmart214$22$53.55$112.465.1×
Humana413$13.74$40.72$125.699.1×
Cigna310$34.8$60.47$91.152.6×
the health plan310$13.6$53.24$92.616.8×
ohio health choice310$28$53.2$105.313.8×
aultcare19$13.6$24.57$36.482.7×
Medicaid29$29.82$54.08$772.6×
medical mutual19$13.6$29.2$55.484.1×
medical mutual of ohio29$54.24$99.7$128.942.4×
summacare19$13.6$34$64.64.8×
First Health37$31.2$103.72$103.723.3×
Molina37$13.6$54.24$202.6214.9×
ohio preferred network16$30$50.4$64.62.2×
Blue Cross Blue Shield26$64.29$67.67$200.063.1×
transplants-case rates [5750]16$34.65$34.65$34.651.0×
commercial-contracted [8000]14$47.24$64.3$771.6×
Multiplan24$125.69$125.69$125.691.0×
ohio ppo connect24$92.61$92.61$92.611.0×
CareSource13$13.88$21.85$26.361.9×
buckeye13$13.88$21.85$26.361.9×
sidecar health22$149.5$243.6$337.72.3×
three rivers network12$125.69$125.69$125.691.0×
care source22$55.33$90.3$125.262.3×
medical mutual of ohio supermed12$99.7$99.7$99.71.0×
buckeye community health plan22$54.24$88.52$122.82.3×
medigold22$54.24$88.52$122.82.3×
priority health12$52.44$86.55$120.662.3×
integrated health plan12$125.69$125.69$125.691.0×
care source just4me22$97.64$159.34$221.042.3×
gateway health11$125.26$125.26$125.261.0×
mclaren commercial ins11$51$51$511.0×
u of m health plan11$46.83$46.83$46.831.0×
safe response program11$200$200$2001.0×
bcccnp11$68.62$68.62$68.621.0×
hap - hmo11$45.46$45.46$45.461.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FAYETTE COUNTY MEMORIAL HOSPWASHINGTON COURT HOUSEOH18$132.3$66.15$44.98$87.71$149.5
ST. LUKES HOSPITALMAUMEEOH12$272$136$29.82$50.22$200.06
ADAMS COUNTY REGIONAL MEDICAL CENTERSEAMANOH6$77$46.2$34.65$34.65$77
TWIN CITY HOSPITALDENNISONOH16$76$37.7$13.6$34$69.16
ADENA REGIONAL MEDICAL CENTERCHILLICOTHEOH21$132.3$66.15$47.36$112.46$337.7
WILSON MEMORIAL HOSPITALSIDNEYOH0$354.9$177.45
SUMMA REHAB HOSPITALAKRONOH0$290
WAYNE HOSPITAL COMPANYGREENVILLEOH0$323$242.25
HENRY COUNTY HOSPITAL (CAH)NAPOLEONOH0$90$67.5
HARRISON COMMUNITY HOSPITALCADIZOH0$169$84.5
BARNESVILLE HOSPITALBARNESVILLEOH0$210$105

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.