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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in AL

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Hospitals
16
Min
$40.00
Median
$363.00
Max
$454.08
Range multiplier
11.4×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Humana825$90.00$323.00$406.734.5×
Cigna722$40.00$174.24$428.5310.7×
Aetna919$31.00$157.00$454.0814.6×
UnitedHealthcare713$57.00$163.35$363.006.4×
Blue Cross Blue Shield612$323.00$363.00$454.081.4×
viva511$118.80$181.50$363.003.1×
WellCare44$363.00$363.00$363.001.0×
Ambetter44$363.00$363.00$363.001.0×
devoted44$363.00$363.00$363.001.0×
Medicare44$363.00$363.00$363.001.0×
university of utah14$31.80$36.60$39.901.3×
health spring13$113.00$115.00$120.001.1×
pehp12$27.60$31.55$35.501.3×
harmony health plan11$454.08$454.08$454.081.0×
county care11$454.08$454.08$454.081.0×
illinicare11$454.08$454.08$454.081.0×
injury care of utah11$78.00$78.00$78.001.0×
magellan behavioral health11$50.00$50.00$50.001.0×
magellan bh11$80.00$80.00$80.001.0×
Medicaid11$454.08$454.08$454.081.0×
viva med adv11$110.67$110.67$110.671.0×
meridian11$454.08$454.08$454.081.0×
Multiplan11$67.00$67.00$67.001.0×
occunet11$628.75$628.75$628.751.0×
select health er11$57.80$57.80$57.801.0×
sterling life insurance11$25.00$25.00$25.001.0×
union pacific railroad11$65.00$65.00$65.001.0×
Bright Health11$28.00$28.00$28.001.0×
universal healthcare11$40.00$40.00$40.001.0×
angle insurance11$48.00$48.00$48.001.0×
usa managed care11$85.00$85.00$85.001.0×
blue advantage11$80.00$80.00$80.001.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
evernorth behavioral health11$134.67$134.67$134.671.0×
elap11$21.18$21.18$21.181.0×
evernorth bh11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalChatomAL4$54.17$57.00$77.50$90.00
St. Vincents St. ClairPell CityAL8$179.63$454.08$454.08
St. Vincents EastBirminghamAL2$503.00$186.11$406.73$406.73$628.75
Mountain View HospitalGadsdenAL18$453.78$453.78$21.18$40.00$85.00
Huntsville HospitalHuntsvilleAL10$363.00$363.00$90.75$363.00$363.00
Helen Keller HospitalSheffieldAL10$363.00$363.00$90.75$363.00$363.00
Athens LimestoneAthensAL10$363.00$363.00$90.75$363.00$363.00
Decatur Morgan - Decatur CampusDecaturAL10$363.00$363.00$90.75$363.00$363.00
Coosa Valley Medical CenterSylacaugaAL4$342.00$82.00$113.00$323.00$342.00
Marshall Medical Centers SouthBoazAL3$453.34$453.34$118.80$163.35$204.00
Providence HospitalMobileAL1$707.00$282.80$134.67$134.67$134.67
Cullman RegionalCullmanAL4$788.50$513.00$110.67$110.67$110.67
Springhill Memorial HospitalMobileAL0$330.02$280.52
Southeast Health Medical CenterDothanAL0$403.14$161.26
Noland Hospital Dothan IiDothanAL0$1,651.66
Noland Hospital Tuscaloosa IiTuscaloosaAL0$271.85

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.