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Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in MN
Hospitals
19
Min
$81.51
Median
$249.38
Max
$331.41
Range multiplier
4.1×
By payer (34 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| america's ppo | 11 | 158 | $86.45 | $345.51 | $463.68 | 5.4× |
| medica | 12 | 152 | $27.72 | $309.4 | $360.12 | 13.0× |
| health partners | 12 | 145 | $26.4 | $304.85 | $944.33 | 35.8× |
| Blue Cross Blue Shield | 18 | 132 | $24 | $176.65 | $1,652.47 | 68.9× |
| sanford health plan | 12 | 71 | $67 | $267.34 | $304 | 4.5× |
| UnitedHealthcare | 18 | 70 | $58.4 | $193.3 | $416.66 | 7.1× |
| Multiplan | 12 | 66 | $76 | $385.81 | $428.4 | 5.6× |
| security health plan | 11 | 65 | $74.96 | $331.34 | $367.92 | 4.9× |
| First Health | 15 | 60 | $93.28 | $372.19 | $413.28 | 4.4× |
| ucare | 12 | 55 | $30.24 | $97.68 | $281.6 | 9.3× |
| private healthcare systems | 11 | 54 | $96.69 | $385.89 | $428.4 | 4.4× |
| wisconsin physician services | 11 | 54 | $102.38 | $408.59 | $453.6 | 4.4× |
| primewest | 11 | 22 | $55.97 | $65.47 | $74.96 | 1.3× |
| itasca medical care | 11 | 22 | $55.97 | $65.47 | $74.96 | 1.3× |
| optum | 4 | 21 | $80.75 | $281.45 | $295.94 | 3.7× |
| Medicaid | 6 | 18 | $3.28 | $94.31 | $276.91 | 84.4× |
| south country health alliance | 9 | 18 | $55.97 | $65.47 | $74.96 | 1.3× |
| Humana | 4 | 13 | $28.8 | $281.45 | $295.75 | 10.3× |
| commercial | sanford health plan | all plans | 2 | 11 | $73.15 | $253.65 | $476.9 | 6.5× |
| WellCare | 11 | 11 | $74.96 | $74.96 | $74.96 | 1.0× |
| hennepin health | 9 | 10 | $63.25 | $63.25 | $63.25 | 1.0× |
| Medicare | 6 | 9 | $78.08 | $81.51 | $93.74 | 1.2× |
| interlink | 1 | 7 | $324.75 | $339.51 | $341.25 | 1.1× |
| Cigna | 1 | 7 | $242.48 | $253.5 | $254.8 | 1.1× |
| emerging therapies | 1 | 7 | $277.12 | $289.72 | $291.2 | 1.1× |
| Aetna | 1 | 7 | $294.44 | $307.83 | $309.4 | 1.1× |
| commercial | health partners | all plans | 2 | 6 | $67.61 | $225.64 | $440.76 | 6.5× |
| commercial | medica | all plans | 2 | 6 | $67.07 | $161.74 | $363.63 | 5.4× |
| healthpartners [900713] | 4 | 4 | $204.15 | $250.76 | $425.88 | 2.1× |
| hp | 1 | 4 | $72.25 | $249.38 | $289 | 4.0× |
| medica [900156] | 3 | 3 | $223.94 | $246.73 | $453.35 | 2.0× |
| commercial | preferred one | ppo | 1 | 3 | $214.83 | $286.44 | $466.86 | 2.2× |
| blue plus | 1 | 1 | $90.52 | $90.52 | $90.52 | 1.0× |
| commercial | preferred one | all other plans | 1 | 1 | $125.78 | $125.78 | $125.78 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| OLIVIA HOSPITAL AND CLINICS | OLIVIA | MN | 7 | $234 | $142.74 | $40.76 | $94.31 | $227.14 |
| LAKEVIEW MEMORIAL | STILLWATER | MN | 6 | $153 | $56.61 | $3.28 | $81.51 | $425.88 |
| M HEALTH FAIRVIEW BETHESDA HOSPITAL | ST PAUL | MN | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| HEALTHEAST WOODWINDS HOSPITAL | WOODBURY | MN | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| HEALTHEAST ST JOSEPHS HOSPITAL | ST PAUL | MN | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| FAIRVIEW RIDGES HOSPITAL | BURNSVILLE | MN | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| HEALTHEAST ST JOHNS HOSPITAL | MAPLEWOOD | MN | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| FAIRVIEW LAKES REGIONAL MEDICAL CTR | WYOMING | MN | 17 | $455 | $285.29 | $55.97 | $331.15 | $944.33 |
| FAIRVIEW NORTHLAND REG | PRINCETON | MN | 18 | $455 | $285.29 | $55.97 | $330.64 | $944.33 |
| FAIRVIEW SOUTHDALE HOSPITAL | EDINA | MN | 18 | $455 | $285.29 | $55.97 | $324.11 | $944.33 |
| UNIVERSITY OF MINNESOTA MEDICAL CTR | MINNEAPOLIS | MN | 23 | $455 | $285.29 | $55.97 | $308.14 | $944.33 |
| COMMUNITY MEMORIAL HOSPITAL | CLOQUET | MN | 1 | $289 | $193.63 | $72.25 | $249.38 | $289 |
| HUTCHINSON HEALTH CARE | HUTCHINSON | MN | 7 | $399 | $183.54 | $78.08 | $219.45 | $359.1 |
| ST. JOSEPHS AREA HEALTH SERVICES | PARK RAPIDS | MN | 9 | $502 | $310.74 | $51.94 | $214.83 | $476.9 |
| JOHNSON MEMORIAL HOSPITAL | DAWSON | MN | 5 | $333.12 | $283.15 | $90.52 | $181.49 | $343.75 |
| RANGE REGIONAL HEALTH SERVICES | HIBBING | MN | 16 | $504 | $214.2 | $55.97 | $132.63 | $1,652.47 |
| GRAND ITASCA CLINIC AND HOSPITAL | GRAND RAPIDS | MN | 15 | $504 | $214.2 | $55.97 | $132.31 | $1,011.18 |
| REGIONS HOSPITAL | ST PAUL | MN | 7 | $333 | $86.58 | $45.14 | $122.4 | $453.35 |
| ST. GABRIELS HOSPITAL | LITTLE FALLS | MN | 13 | $436 | $218 | $24 | $115.2 | $414.2 |
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.