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Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$82.41
Median
$129.44
Max
$129.44
Range multiplier
1.6×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $25.95 | $117.82 | $174.09 | 6.7× |
| UnitedHealthcare | 2 | 7 | $59.43 | $129.44 | $282.53 | 4.8× |
| Blue Cross Blue Shield | 2 | 6 | $66.78 | $91.31 | $125.67 | 1.9× |
| Aetna | 2 | 4 | $68.78 | $125.73 | $129.44 | 1.9× |
| Cigna | 2 | 4 | $34.6 | $101.04 | $153.23 | 4.4× |
| VA Health | 2 | 2 | $66.78 | $96.23 | $125.67 | 1.9× |
| amerihealth negotiated charge | 2 | 2 | $80.62 | $95.97 | $111.32 | 1.4× |
| hscsn negotiated charge | 2 | 2 | $171.66 | $211.33 | $251 | 1.5× |
| Multiplan | 2 | 2 | $194.55 | $231.14 | $267.73 | 1.4× |
| pfc negotiated charge | 2 | 2 | $148.77 | $183.15 | $217.53 | 1.5× |
| TRICARE | 2 | 2 | $171.66 | $211.33 | $251 | 1.5× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $80.62 | $95.97 | $111.32 | 1.4× |
| medstar family choice maryland negotiated charge | 2 | 2 | $96.29 | $110.93 | $125.57 | 1.3× |
| magellan behavioral health negotiated charge** | 1 | 1 | $27.32 | $27.32 | $27.32 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $301.19 | $301.19 | $301.19 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $148.77 | $148.77 | $148.77 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WASHINGTON HOSPITAL CENTER | WASHINGTON | DC | 15 | — | — | $27.32 | $82.41 | $301.19 |
| NATIONAL REHABILITATION HOSPITAL | WASHINGTON | DC | 14 | — | — | $25.95 | $129.44 | $194.55 |
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.