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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$93.00
Median
$116.00
Max
$316.20
Range multiplier
3.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1775$74.50$116.00$345.804.6×
UnitedHealthcare1968$78.23$168.46$416.795.3×
Aetna1647$74.50$150.11$408.875.5×
medica441$109.90$301.44$349.443.2×
midlands choice419$115.07$349.44$395.253.4×
Humana1618$74.50$78.23$156.522.1×
Cigna1618$100.00$153.98$418.774.2×
greater omaha packing216$301.44$325.44$349.441.2×
one world216$301.44$325.44$349.441.2×
millard public schools216$301.44$325.44$349.441.2×
health partners open network1414$127.02$127.02$127.021.0×
Molina1111$74.00$75.99$75.991.0×
amerivantage1111$74.50$78.23$78.231.1×
phcs310$307.72$356.72$395.251.3×
quiktrip310$301.44$316.20$349.441.2×
Multiplan310$307.72$356.72$447.951.5×
bc illinois community28$170.94$233.71$279.061.6×
amerigroup28$115.40$139.76$164.351.4×
timpte28$301.44$325.44$349.441.2×
Centene37$79.05$137.73$159.662.0×
healthpartners14$74.00$232.13$371.255.0×
great plains24$115.40$137.78$164.351.4×
pace24$109.90$131.21$156.521.4×
iamolina24$140.43$151.61$162.791.2×
Anthem BCBS14$66.00$253.88$420.756.4×
amps24$243.98$291.29$347.481.4×
common ground13$65.00$65.00$65.001.0×
wisconsin physician service13$90.00$95.00$95.001.1×
health eos plus12$297.00$297.00$297.001.0×
health eos12$396.00$396.00$396.001.0×
total care12$137.73$148.70$159.661.2×
health alliance22$74.50$74.50$74.501.0×
Ambetter22$74.50$74.50$74.501.0×
meridian health plan22$78.23$78.23$78.231.0×
elap11$147.56$147.56$147.561.0×
dean health plan11$218.04$218.04$218.041.0×
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×
iowa health11$78.23$78.23$78.231.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
medical associates health plan11$130.38$130.38$130.381.0×
meridian11$78.23$78.23$78.231.0×
health partners11$115.07$115.07$115.071.0×
everpointe elite11$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$495.00$247.50$65.00$93.00$420.75
Chi Health Mercy Council BluffsCouncil BluffsIA8$527.00$221.34$79.05$316.20$447.95
Chi Health Mercy CorningCorningIA18$364.00$174.72$135.02$301.44$356.72
Chi Health - Missouri ValleyMissouri ValleyIA19$364.00$178.36$109.71$301.44$356.72
The Finley HospitalDubuqueIA12$237.00$189.60$74.50$128.70$279.06
Broadlawns Medical CenterDes MoinesIA7$230.00$230.00$114.80$128.03$230.00
Trinity BettendorfBettendorfIA9$237.00$189.60$74.50$116.00$168.46
Allen Memorial HospitalWaterlooIA8$237.00$189.60$74.50$116.00$168.46
St. Lukes Regl Medical CenterSioux CityIA8$237.00$189.60$74.50$116.00$168.46
Grinnell Regional Medical CenterGrinnellIA8$237.00$189.60$74.50$116.00$168.46
Grundy County Mem. HospitalGrundy CenterIA8$237.00$189.60$74.50$116.00$168.46
Jones Regional Medical CtrAnamosaIA8$237.00$189.60$74.50$116.00$168.46
Unitypoint Health-MarshalltownMarshalltownIA8$237.00$189.60$74.50$116.00$168.46
Trinity MuscatineMuscatineIA10$237.00$189.60$74.50$116.00$279.06
Trinity Regional Medical CenterFort DodgeIA6$237.00$189.60$74.50$116.00$168.46
Iowa Lutheran HospitalDes MoinesIA8$237.00$189.60$74.50$116.00$168.46
St. Lukes Methodist HospitalCedar RapidsIA8$237.00$189.60$74.50$116.00$168.46
Iowa Methodist Medical CenterDes MoinesIA8$237.00$189.60$74.50$116.00$168.46
Community Mem. Hospt. SummerSumnerIA8$237.00$189.60$74.50$116.00$168.46
Loring HospitalSac CityIA0$246.00$196.80
Mitchell County Regional Health CentOsageIA0$259.80$233.82
Greene County Medical CenterJeffersonIA0$309.00$173.04
Regional Health Services Of Howard CCrescoIA0$346.00
Story County HospitalNevadaIA0$461.00$368.80
Peoples Memorial HospitalIndependenceIA0$409.58$348.14
Mercy Hospital Iowa CityIowa CityIA0$240.00$115.20
Stewart Memorial HospitalLake CityIA0$370.00$296.00
Spencer Municipal HospitalSpencerIA0$225.80$169.35

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.