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Office visit, new patient, 30-44 minutes
CPT 99203 · negotiated-rate distribution across hospitals in WA
Hospitals
3
Min
$68.99
Median
$85.62
Max
$87.21
Range multiplier
1.3×
By payer (36 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 3 | 12 | $56.13 | $78.00 | $262.24 | 4.7× |
| Blue Cross Blue Shield | 2 | 8 | $62.36 | $73.50 | $114.51 | 1.8× |
| Humana | 2 | 7 | $62.36 | $85.62 | $135.26 | 2.2× |
| UnitedHealthcare | 3 | 4 | $68.99 | $85.08 | $235.42 | 3.4× |
| Medicare | 1 | 3 | $85.62 | $85.62 | $89.90 | 1.0× |
| Multiplan | 2 | 3 | $62.29 | $73.59 | $118.27 | 1.9× |
| Kaiser Permanente | 2 | 2 | $68.99 | $77.31 | $85.62 | 1.2× |
| the health plan | 1 | 2 | $61.76 | $61.76 | $61.76 | 1.0× |
| the health plan hmo | 1 | 2 | $89.88 | $170.10 | $250.32 | 2.8× |
| umr | 1 | 2 | $84.53 | $159.98 | $235.42 | 2.8× |
| allied benefit systems llc [110104] | 1 | 2 | $66.03 | $78.90 | $91.76 | 1.4× |
| Medicare Advantage | 1 | 2 | $78.01 | $78.01 | $78.01 | 1.0× |
| Molina | 2 | 2 | $145.55 | $153.29 | $161.03 | 1.1× |
| first choice generic [8999] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| First Health | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| GEHA | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| ameriben [8000] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| Ambetter | 1 | 1 | $61.33 | $61.33 | $61.33 | 1.0× |
| mega life [8005] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| mid west natl life [8006] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| wellpoint medadvantage [210115] | 1 | 1 | $85.62 | $85.62 | $85.62 | 1.0× |
| mutual of omaha [8007] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| mva farmers [1026] | 1 | 1 | $73.59 | $73.59 | $73.59 | 1.0× |
| mva progressive [1027] | 1 | 1 | $73.59 | $73.59 | $73.59 | 1.0× |
| mva state farm [1028] | 1 | 1 | $73.59 | $73.59 | $73.59 | 1.0× |
| pacific source [8008] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| pacific source administrators [8010] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| wellpoint [6009] | 1 | 1 | $29.90 | $29.90 | $29.90 | 1.0× |
| asuris truadvantage [4011] | 1 | 1 | $78.01 | $78.01 | $78.01 | 1.0× |
| bh optum health medadvantage [210117] | 1 | 1 | $85.62 | $85.62 | $85.62 | 1.0× |
| chp advantage [4001] | 1 | 1 | $89.46 | $89.46 | $89.46 | 1.0× |
| chpw [130116] | 1 | 1 | $136.99 | $136.99 | $136.99 | 1.0× |
| chpw med advantage [210102] | 1 | 1 | $85.62 | $85.62 | $85.62 | 1.0× |
| Cigna | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
| community health network of wa [1055] | 1 | 1 | $132.40 | $132.40 | $132.40 | 1.0× |
| first choice [8009] | 1 | 1 | $68.99 | $68.99 | $68.99 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| East Adams Rural Hospital | Ritzville | WA | 5 | $298.00 | $178.80 | $61.76 | $87.21 | $262.24 |
| Valley Medical Center | Renton | WA | 13 | $379.00 | $265.30 | $56.13 | $85.62 | $203.46 |
| Wenatchee Valley Hospital | Wenatchee | WA | 27 | $76.66 | $68.99 | $29.90 | $68.99 | $161.03 |
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.