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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$165.10
Median
$166.92
Max
$166.92
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$58.00$148.64$212.523.7×
Aetna618$132.34$134.68$172.641.3×
Cigna612$165.10$175.63$187.201.1×
sentara health plan612$56.42$108.81$161.202.9×
gateway - tier 166$247.00$247.00$247.001.0×
gateway - tier 266$208.00$208.00$208.001.0×
gateway - tier 366$143.00$143.00$143.001.0×
Humana66$58.00$58.00$58.001.0×
vhn - ultra66$161.20$161.20$161.201.0×
Anthem BCBS66$55.37$55.37$55.371.0×
connecticare66$182.00$182.00$182.001.0×
First Health66$58.00$58.00$58.001.0×
vhn - link66$234.00$234.00$234.001.0×
vhn - plus66$200.20$200.20$200.201.0×
vhn - secondary payors66$247.00$247.00$247.001.0×
vhn66$208.00$208.00$208.001.0×
national provider network11$249.60$249.60$249.601.0×
integrated health plan11$221.00$221.00$221.001.0×
corvel11$50.09$50.09$50.091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$260.00$91.00$55.37$166.92$247.00
Carilion Medical CenterRoanokeVA16$260.00$91.00$55.37$166.92$247.00
Carilion New River Valley Med CenterChristiansburgVA16$260.00$91.00$55.37$166.92$247.00
Carilion Franklin Memorial HospitalRocky MountVA16$260.00$91.00$55.37$166.92$247.00
Carilion Giles Community HospitalPearisburgVA16$260.00$91.00$55.37$166.92$247.00
Carilion Tazewell Community HospitalTazewellVA19$260.00$91.00$50.09$165.10$249.60
Childrens Hospital Of The Kings DaNorfolkVA0$161.00$144.90
Lynn House Of Potomac Valley Inc.AlexandriaVA0$131.00$65.50
Bon Secours Depaul Medical CenterNorfolkVA0$365.00$237.25

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.