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Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in CO
Hospitals
5
Min
$157.50
Median
$311.25
Max
$582.91
Range multiplier
3.7×
By payer (18 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 3 | 5 | $160.00 | $203.35 | $332.00 | 2.1× |
| UnitedHealthcare | 3 | 4 | $155.00 | $173.50 | $311.25 | 2.0× |
| Aetna | 2 | 2 | $201.00 | $283.10 | $365.20 | 1.8× |
| Cigna | 2 | 2 | $195.00 | $291.52 | $388.03 | 2.0× |
| allsavers ip | 1 | 1 | $311.25 | $311.25 | $311.25 | 1.0× |
| cofinity | 1 | 1 | $311.25 | $311.25 | $311.25 | 1.0× |
| friday health plan | 1 | 1 | $290.50 | $290.50 | $290.50 | 1.0× |
| health management network | 1 | 1 | $352.75 | $352.75 | $352.75 | 1.0× |
| Humana | 1 | 1 | $290.50 | $290.50 | $290.50 | 1.0× |
| Meritain Health | 1 | 1 | $201.00 | $201.00 | $201.00 | 1.0× |
| police departments [50065] | 1 | 1 | $1,000.00 | $1,000.00 | $1,000.00 | 1.0× |
| presbyterian of nm: php pos, administrative services only & ppo plan | 1 | 1 | $332.00 | $332.00 | $332.00 | 1.0× |
| presbyterian of nm: php salud plan | 1 | 1 | $311.25 | $311.25 | $311.25 | 1.0× |
| rocky mountain health plan: commercial ip | 1 | 1 | $269.75 | $269.75 | $269.75 | 1.0× |
| rocky mountain health plan: commercial op | 1 | 1 | $290.50 | $290.50 | $290.50 | 1.0× |
| rocky mountain hospital & medical | 1 | 1 | $201.00 | $201.00 | $201.00 | 1.0× |
| texas rehabilitation comm [50038] | 1 | 1 | $165.82 | $165.82 | $165.82 | 1.0× |
| child health plan+ | 1 | 1 | $269.75 | $269.75 | $269.75 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Rio Grande Hospital | Del Norte | CO | 2 | $1,113.20 | $222.64 | $165.82 | $582.91 | $1,000.00 |
| Animas Surgical Hospital | Durango | CO | 14 | $415.00 | — | $203.35 | $311.25 | $388.03 |
| Southeast Colorado Hospital | Springfield | CO | 6 | $205.00 | $164.00 | $192.00 | $201.00 | $201.00 |
| Mt. San Rafael Hospital | Trinidad | CO | 2 | $254.00 | $178.00 | $155.00 | $157.50 | $229.00 |
| Vail Valley Medical Center | Vail | CO | 0 | $577.00 | $432.75 | — | — | — |
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.