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Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in KY
Hospitals
10
Min
$50.66
Median
$69.96
Max
$576.76
Range multiplier
11.4×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 9 | 69 | $15.28 | $75.59 | $797.01 | 52.2× |
| Anthem BCBS | 9 | 52 | $15.28 | $129.75 | $749.28 | 49.0× |
| WellCare | 9 | 45 | $18.19 | $69.96 | $222.82 | 12.2× |
| UnitedHealthcare | 9 | 37 | $15.28 | $70.67 | $639.32 | 41.8× |
| caresoure kentucky | 7 | 26 | $64.20 | $115.43 | $514.20 | 8.0× |
| Humana | 9 | 26 | $15.28 | $50.66 | $196.22 | 12.8× |
| umr | 8 | 18 | $47.62 | $217.09 | $639.32 | 13.4× |
| Molina | 8 | 15 | $15.28 | $50.64 | $166.50 | 10.9× |
| optum ccn region 2 | 7 | 15 | $18.19 | $69.96 | $69.96 | 3.8× |
| optum ccn region 1 | 7 | 15 | $18.19 | $69.96 | $69.96 | 3.8× |
| the health plan | 1 | 4 | $61.76 | $65.86 | $69.96 | 1.1× |
| Cigna | 1 | 3 | $76.05 | $102.15 | $155.24 | 2.0× |
| alliance coal | 1 | 2 | $91.26 | $122.25 | $153.23 | 1.7× |
| CareSource | 1 | 2 | $76.05 | $106.98 | $137.91 | 1.8× |
| Multiplan | 1 | 2 | $173.66 | $174.38 | $175.10 | 1.0× |
| va community care network | 1 | 2 | $76.05 | $89.10 | $102.15 | 1.3× |
| amerigroup | 1 | 2 | $76.05 | $89.10 | $102.15 | 1.3× |
| christian county health dept-cchd | 1 | 1 | $60.57 | $60.57 | $60.57 | 1.0× |
| center care | 1 | 1 | $155.24 | $155.24 | $155.24 | 1.0× |
| beacon health | 1 | 1 | $60.57 | $60.57 | $60.57 | 1.0× |
| First Health | 1 | 1 | $175.10 | $175.10 | $175.10 | 1.0× |
| commonwealth health alliance | 1 | 1 | $185.40 | $185.40 | $185.40 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Hazard Arh | Hazard | KY | 10 | $742.00 | $445.20 | $24.01 | $75.59 | $667.80 |
| Middlesboro Arh | Middlesboro | KY | 10 | $321.00 | $192.60 | $19.65 | $72.23 | $298.53 |
| Tug Valley Arh | South Williamson | KY | 11 | $331.00 | $198.60 | $16.37 | $69.96 | $297.90 |
| Highlands Regional Medical Center | Prestonsburg | KY | 10 | $224.00 | $134.40 | $31.03 | $69.96 | $115.43 |
| Paintsville Arh Hospital | Paintsville | KY | 9 | $857.00 | $514.20 | $15.28 | $69.96 | $749.28 |
| Whitesburg Arh | Whitesburg | KY | 10 | $298.00 | $178.80 | $26.75 | $69.96 | $277.14 |
| Harlan Arh | Harlan | KY | 8 | $857.00 | $514.20 | $137.12 | $576.76 | $797.01 |
| Mcdowell Arh | Mcdowell | KY | 10 | $298.00 | $178.80 | $18.19 | $50.66 | $262.24 |
| Jennie Stuart Medical Center | Hopkinsville | KY | 16 | $206.00 | $63.86 | $60.57 | $102.15 | $196.22 |
| Spring View Hospital | Lebanon | KY | 0 | $558.31 | $223.32 | — | — | — |
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.