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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in KS

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Hospitals
11
Min
$120.26
Median
$174.38
Max
$406.73
Range multiplier
3.4×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare631$43.50$95.00$335.007.7×
Aetna620$114.74$284.88$373.753.3×
Blue Cross Blue Shield620$109.38$163.35$392.003.6×
kancare sunflower36$114.74$119.91$125.071.1×
First Health26$144.00$215.19$215.191.5×
transplants-case rates [5750]16$127.05$181.50$363.002.9×
kancare healthy blue36$114.74$119.91$125.071.1×
providrs care35$170.85$170.85$170.851.0×
Cigna24$132.50$242.00$254.101.9×
occunet23$151.00$155.00$628.754.2×
Medicaid13$109.86$109.86$164.791.5×
TRICARE33$128.48$128.48$128.481.0×
wps gha - mac j5 part a12$392.00$444.00$496.001.3×
Humana12$406.73$406.73$406.731.0×
medincrease health plan12$163.00$165.50$168.001.0×
prime health services12$188.00$191.00$194.001.0×
samaritan ministries international12$163.00$165.50$168.001.0×
wppa12$138.00$140.00$142.001.0×
point c11$200.54$200.54$200.541.0×
velocity national provider network11$191.25$191.25$191.251.0×
provider networks of america11$191.25$191.25$191.251.0×
insurance administrator of ame11$279.00$279.00$279.001.0×
rocky mountain hospital&medica11$614.00$614.00$614.001.0×
commercial-contracted [8000]11$272.25$272.25$272.251.0×
healthsmart11$180.00$180.00$180.001.0×
compsych11$168.75$168.75$168.751.0×
luminare health11$279.00$279.00$279.001.0×
community care health plan of11$279.00$279.00$279.001.0×
Multiplan11$153.00$153.00$153.001.0×
kansas solutions11$614.00$614.00$614.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Great Plains Of Ottawa County IncMinneapolisKS2$503.00$186.11$406.73$406.73$628.75
Via Christi Rehab Center IncWichitaKS1$373.75$373.75$373.75
Kearny County HospitalLakinKS9$977.00$200.54$279.00$614.00
Newton Medical CenterNewtonKS8$259.00$181.00$138.00$178.00$246.00
Cottonwood SpringsOlatheKS6$225.00$800.00$144.00$174.38$191.25
St. Lukes SouthOverland ParkKS8$363.00$217.80$43.50$163.35$363.00
Stormont-Vail Regional Health CenterTopekaKS1$667.13$147.83$151.72$155.61
Wamego Hospital AssociationWamegoKS7$110.33$125.07$170.85
Mercy Regional Health CenterManhattanKS7$806.00$322.40$109.38$120.26$170.85
Via Christi Hospital Pittsburg Inc.PittsburgKS7$806.00$322.40$109.38$120.26$170.85
Childrens Mercy Hospital KansasOverland ParkKS0$366.00$175.68

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.