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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
$93.00
Median
$188.80
Max
$451.20
Range multiplier
4.9×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1775$121.61$188.80$525.354.3×
UnitedHealthcare1968$82.00$288.21$555.726.8×
Aetna1647$78.00$254.67$545.167.0×
medica441$164.50$451.20$530.883.2×
midlands choice419$196.81$519.75$530.882.7×
Humana1618$121.61$127.69$237.792.0×
Cigna1618$100.00$251.15$558.365.6×
greater omaha packing216$451.20$491.04$530.881.2×
one world216$451.20$491.04$530.881.2×
millard public schools216$451.20$491.04$530.881.2×
health partners open network1414$214.84$214.84$214.841.0×
Molina1111$74.00$124.04$124.041.7×
amerivantage1111$121.61$127.69$127.691.0×
phcs310$460.60$505.89$541.941.2×
quiktrip310$415.80$451.20$530.881.3×
Multiplan310$460.60$541.94$589.051.3×
bc illinois community28$257.10$363.91$444.521.7×
amerigroup28$172.73$209.18$249.681.4×
timpte28$451.20$491.04$530.881.2×
Centene37$103.95$206.15$242.552.3×
healthpartners14$74.00$294.00$495.006.7×
great plains24$172.73$207.72$249.681.4×
pace24$164.50$197.83$237.791.4×
iamolina24$210.19$228.75$247.311.2×
Anthem BCBS14$66.00$324.00$561.008.5×
amps24$365.19$439.18$527.901.4×
common ground13$65.00$65.00$65.001.0×
wisconsin physician service13$90.00$95.00$95.001.1×
health eos plus12$396.00$396.00$396.001.0×
health eos12$528.00$528.00$528.001.0×
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$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
iowa health11$127.69$127.69$127.691.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
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$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$660.00$330.00$65.00$93.00$561.00
Chi Health Mercy CorningCorningIA18$553.00$265.44$202.10$451.20$541.94
Chi Health - Missouri ValleyMissouri ValleyIA19$553.00$270.97$147.27$451.20$541.94
Chi Health Mercy Council BluffsCouncil BluffsIA8$693.00$291.06$103.95$415.80$589.05
The Finley HospitalDubuqueIA12$362.00$289.60$121.61$213.83$444.52
Broadlawns Medical CenterDes MoinesIA7$282.00$282.00$163.19$196.81$282.00
Trinity BettendorfBettendorfIA9$362.00$289.60$121.61$188.80$288.21
Allen Memorial HospitalWaterlooIA8$362.00$289.60$121.61$188.80$288.21
St. Lukes Regl Medical CenterSioux CityIA8$362.00$289.60$121.61$188.80$288.21
Grinnell Regional Medical CenterGrinnellIA8$362.00$289.60$121.61$188.80$288.21
Grundy County Mem. HospitalGrundy CenterIA8$362.00$289.60$121.61$188.80$288.21
Jones Regional Medical CtrAnamosaIA8$362.00$289.60$121.61$188.80$288.21
Unitypoint Health-MarshalltownMarshalltownIA8$362.00$289.60$121.61$188.80$288.21
Trinity MuscatineMuscatineIA10$362.00$289.60$121.61$188.80$444.52
Trinity Regional Medical CenterFort DodgeIA6$362.00$289.60$121.61$188.80$288.21
Iowa Lutheran HospitalDes MoinesIA8$362.00$289.60$121.61$188.80$288.21
St. Lukes Methodist HospitalCedar RapidsIA8$362.00$289.60$121.61$188.80$288.21
Iowa Methodist Medical CenterDes MoinesIA8$362.00$289.60$121.61$188.80$288.21
Community Mem. Hospt. SummerSumnerIA8$362.00$289.60$121.61$188.80$288.21
Loring HospitalSac CityIA0$397.00$317.60
Mitchell County Regional Health CentOsageIA0$370.70$333.63
Greene County Medical CenterJeffersonIA0$528.00$295.68
Regional Health Services Of Howard CCrescoIA0$481.00
Story County HospitalNevadaIA0$718.00$574.40
Peoples Memorial HospitalIndependenceIA0$542.83$461.40
Mercy Hospital Iowa CityIowa CityIA0$366.00$175.68
Stewart Memorial HospitalLake CityIA0$489.00$391.00
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.