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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in MO

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Hospitals
8
Min
$55.95
Median
$133.00
Max
$133.00
Range multiplier
2.4×

By payer (16 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare12$133.00$165.94$198.881.5×
Humana12$124.30$125.55$126.791.0×
Aetna11$55.95$55.95$55.951.0×
allwell [503200078]11$128.03$128.03$128.031.0×
Ambetter11$138.12$138.12$138.121.0×
Blue Cross Blue Shield11$55.95$55.95$55.951.0×
centivo [5032000982]11$134.06$134.06$134.061.0×
centurion [5032000966]11$161.59$161.59$161.591.0×
lasso healthcare [503999926]11$124.30$124.30$124.301.0×
meridian healthcare of illinois mc plus11$55.95$55.95$55.951.0×
oscar [503201609]11$97.50$97.50$97.501.0×
TRICARE11$124.30$124.30$124.301.0×
triwest [503201703]11$124.30$124.30$124.301.0×
6 degrees health [503999050]11$203.12$203.12$203.121.0×
wellfit [503301514]11$134.06$134.06$134.061.0×
advanced medical pricing solutions [503301513]11$243.75$243.75$243.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ranken JordanMaryland HeightsMO3$409.20$409.20$55.95$55.95$55.95
North Kansas City HospitalNorth Kansas CityMO13$1,646.00$329.20$97.50$133.00$243.75
Missouri Delta Medical CenterSikestonMO0$352.25$88.06
CoxhealthSpringfieldMO0$243.15$61.27
Barton County Memorial HospitalLamarMO0$243.15$77.56
Cox-Monett HospitalMonettMO0$243.15$74.16
Harrison County Community HospitalBethanyMO0$198.00$99.00
Cox Medical Center BransonBransonMO0$243.15$55.20

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.