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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$65.86
Median
$158.35
Max
$174.26
Range multiplier
2.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna533$65.86$201.6$718.210.9×
UnitedHealthcare630$1$143.01$694.26694.3×
Blue Cross Blue Shield628$78.75$160.32$679.18.6×
Cigna428$1$192.98$800.93800.9×
First Health313$149.15$212.8$758.15.1×
Health Net110$57.49$187.7$774.0613.5×
Medicaid18$1$106.05$474.77474.8×
WellCare46$35.44$62.74$215.966.1×
Humana56$57.49$146.51$220.423.8×
CareSource46$13.49$64.94$220.1516.3×
alliant health plan24$157.5$210$288.41.8×
secure health op rate22$159$159$1591.0×
dodge cty op rate22$76.32$76.32$76.321.0×
amerigroup community care22$76.52$81.07$85.611.1×
phcs op rate22$292.56$292.56$292.561.0×
beech street op rate22$286.2$286.2$286.21.0×
alliant op rate22$159$159$1591.0×
evernorth behavioral health11$95.12$95.12$95.121.0×
arizona complete health11$57.49$57.49$57.491.0×
banner health11$57.49$57.49$57.491.0×
care 1st11$57.49$57.49$57.491.0×
acchs11$57.49$57.49$57.491.0×
health choice11$60.37$60.37$60.371.0×
mercy care11$60.37$60.37$60.371.0×
peach state health plan op rate11$54.25$54.25$54.251.0×
peach state hp op rate11$68.41$68.41$68.411.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$732$292.8$95.12$95.12$95.12
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA3$634.5$13.49$65.86$220.42
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$798$592.12$57.49$174.26$774.06
PERRY HOSPITALPERRYGA11$52.62$160.23$318
HOUSTON MEDICAL CENTERWARNER ROBINSGA12$66.41$159$318
UNION GENERAL HOSPITALBLAIRSVILLEGA8$375$187.5$35.44$158.35$318.75
DODGE COUNTY HOSPITALEASTMANGA5$889.92$1$153.54$800.93
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$412$206$49.5$144.2$350.2
SOUTHWELL MEDICALADELGA0$497$248.5

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.