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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$222.25
Median
$224.70
Max
$224.70
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$90.02$200.10$286.093.2×
Aetna618$178.15$181.30$232.401.3×
Cigna612$222.25$236.43$252.001.1×
sentara health plan612$87.57$152.29$217.002.5×
gateway - tier 166$332.50$332.50$332.501.0×
gateway - tier 266$280.00$280.00$280.001.0×
gateway - tier 366$192.50$192.50$192.501.0×
Humana66$90.02$90.02$90.021.0×
vhn - ultra66$217.00$217.00$217.001.0×
Anthem BCBS66$85.93$85.93$85.931.0×
connecticare66$245.00$245.00$245.001.0×
First Health66$90.02$90.02$90.021.0×
vhn - link66$315.00$315.00$315.001.0×
vhn - plus66$269.50$269.50$269.501.0×
vhn - secondary payors66$332.50$332.50$332.501.0×
vhn66$280.00$280.00$280.001.0×
national provider network11$336.00$336.00$336.001.0×
integrated health plan11$297.50$297.50$297.501.0×
corvel11$77.75$77.75$77.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$350.00$122.50$85.93$224.70$332.50
Carilion Medical CenterRoanokeVA16$350.00$122.50$85.93$224.70$332.50
Carilion New River Valley Med CenterChristiansburgVA16$350.00$122.50$85.93$224.70$332.50
Carilion Franklin Memorial HospitalRocky MountVA16$350.00$122.50$85.93$224.70$332.50
Carilion Giles Community HospitalPearisburgVA16$350.00$122.50$85.93$224.70$332.50
Carilion Tazewell Community HospitalTazewellVA19$350.00$122.50$77.75$222.25$336.00
Childrens Hospital Of The Kings DaNorfolkVA0$495.00$445.50
Lynn House Of Potomac Valley Inc.AlexandriaVA0$204.00$102.00
Bon Secours Depaul Medical CenterNorfolkVA0$498.00$323.70

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.