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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$93
Median
$188.8
Max
$451.2
Range multiplier
4.9×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1775$121.61$188.8$525.354.3×
UnitedHealthcare1968$82$288.21$555.726.8×
Aetna1647$78$254.67$545.167.0×
medica441$164.5$451.2$530.883.2×
midlands choice419$196.81$519.75$530.882.7×
Humana1618$121.61$127.69$237.792.0×
Cigna1618$100$251.15$558.365.6×
greater omaha packing216$451.2$491.04$530.881.2×
one world216$451.2$491.04$530.881.2×
millard public schools216$451.2$491.04$530.881.2×
health partners open network1414$214.84$214.84$214.841.0×
Molina1111$74$124.04$124.041.7×
amerivantage1111$121.61$127.69$127.691.0×
phcs310$460.6$505.89$541.941.2×
quiktrip310$415.8$451.2$530.881.3×
Multiplan310$460.6$541.94$589.051.3×
bc illinois community28$257.1$363.91$444.521.7×
amerigroup28$172.73$209.18$249.681.4×
timpte28$451.2$491.04$530.881.2×
Centene37$103.95$206.15$242.552.3×
healthpartners14$74$294$4956.7×
great plains24$172.73$207.72$249.681.4×
pace24$164.5$197.83$237.791.4×
iamolina24$210.19$228.75$247.311.2×
Anthem BCBS14$66$324$5618.5×
amps24$365.19$439.18$527.91.4×
common ground13$65$65$651.0×
wisconsin physician service13$90$95$951.1×
health eos plus12$396$396$3961.0×
health eos12$528$528$5281.0×
total care12$206.15$224.35$242.551.2×
health alliance22$121.61$121.61$121.611.0×
Ambetter22$121.61$121.61$121.611.0×
meridian health plan22$127.69$127.69$127.691.0×
elap11$194.04$194.04$194.041.0×
dean health plan11$333.04$333.04$333.041.0×
quartz group11$80$80$801.0×
quartz one11$70$70$701.0×
centivo11$76$76$761.0×
aurora caregiver11$80$80$801.0×
trilogy11$116$116$1161.0×
iowa health11$127.69$127.69$127.691.0×
hs technology11$90$90$901.0×
health payment systems11$115$115$1151.0×
medical associates health plan11$212.82$212.82$212.821.0×
meridian11$127.69$127.69$127.691.0×
health partners11$196.81$196.81$196.811.0×
everpointe elite11$75$75$751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WASHINGTON COUNTY HOSPITALWASHINGTONIA18$660$330$65$93$561
CHI HEALTH MERCY CORNINGCORNINGIA18$553$265.44$202.1$451.2$541.94
CHI HEALTH - MISSOURI VALLEYMISSOURI VALLEYIA19$553$270.97$147.27$451.2$541.94
CHI HEALTH MERCY COUNCIL BLUFFSCOUNCIL BLUFFSIA8$693$291.06$103.95$415.8$589.05
THE FINLEY HOSPITALDUBUQUEIA12$362$289.6$121.61$213.83$444.52
BROADLAWNS MEDICAL CENTERDES MOINESIA7$282$282$163.19$196.81$282
TRINITY BETTENDORFBETTENDORFIA9$362$289.6$121.61$188.8$288.21
ALLEN MEMORIAL HOSPITALWATERLOOIA8$362$289.6$121.61$188.8$288.21
ST. LUKES REGL MEDICAL CENTERSIOUX CITYIA8$362$289.6$121.61$188.8$288.21
GRINNELL REGIONAL MEDICAL CENTERGRINNELLIA8$362$289.6$121.61$188.8$288.21
GRUNDY COUNTY MEM. HOSPITALGRUNDY CENTERIA8$362$289.6$121.61$188.8$288.21
JONES REGIONAL MEDICAL CTRANAMOSAIA8$362$289.6$121.61$188.8$288.21
UNITYPOINT HEALTH-MARSHALLTOWNMARSHALLTOWNIA8$362$289.6$121.61$188.8$288.21
TRINITY MUSCATINEMUSCATINEIA10$362$289.6$121.61$188.8$444.52
TRINITY REGIONAL MEDICAL CENTERFORT DODGEIA6$362$289.6$121.61$188.8$288.21
IOWA LUTHERAN HOSPITALDES MOINESIA8$362$289.6$121.61$188.8$288.21
ST. LUKES METHODIST HOSPITALCEDAR RAPIDSIA8$362$289.6$121.61$188.8$288.21
IOWA METHODIST MEDICAL CENTERDES MOINESIA8$362$289.6$121.61$188.8$288.21
COMMUNITY MEM. HOSPT. SUMMERSUMNERIA8$362$289.6$121.61$188.8$288.21
LORING HOSPITALSAC CITYIA0$397$317.6
MITCHELL COUNTY REGIONAL HEALTH CENTOSAGEIA0$370.7$333.63
GREENE COUNTY MEDICAL CENTERJEFFERSONIA0$528$295.68
REGIONAL HEALTH SERVICES OF HOWARD CCRESCOIA0$481
STORY COUNTY HOSPITALNEVADAIA0$718$574.4
PEOPLES MEMORIAL HOSPITALINDEPENDENCEIA0$542.83$461.4
MERCY HOSPITAL IOWA CITYIOWA CITYIA0$366$175.68
STEWART MEMORIAL HOSPITALLAKE CITYIA0$489$391
SPENCER MUNICIPAL HOSPITALSPENCERIA0$272.59$204.44

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.