▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in KY
Hospitals
10
Min
$83.64
Median
$114.34
Max
$742.99
Range multiplier
8.9×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 9 | 57 | $25.99 | $128.08 | $1,077.87 | 41.5× |
| Anthem BCBS | 8 | 40 | $25.99 | $167.88 | $1,013.31 | 39.0× |
| WellCare | 9 | 39 | $30.94 | $114.34 | $289.75 | 9.4× |
| UnitedHealthcare | 9 | 32 | $25.99 | $114.34 | $863.46 | 33.2× |
| Humana | 8 | 22 | $25.99 | $83.64 | $295.28 | 11.4× |
| caresoure kentucky | 7 | 21 | $109.20 | $188.66 | $695.40 | 6.4× |
| umr | 8 | 14 | $80.99 | $244.72 | $863.46 | 10.7× |
| optum ccn region 2 | 7 | 13 | $30.94 | $114.34 | $114.34 | 3.7× |
| optum ccn region 1 | 7 | 13 | $30.94 | $114.34 | $114.34 | 3.7× |
| Molina | 7 | 11 | $25.99 | $85.31 | $213.63 | 8.2× |
| the health plan | 1 | 4 | $100.62 | $107.48 | $114.34 | 1.1× |
| Cigna | 1 | 3 | $123.81 | $153.88 | $233.62 | 1.9× |
| alliance coal | 1 | 2 | $148.57 | $189.70 | $230.82 | 1.6× |
| CareSource | 1 | 2 | $123.81 | $165.78 | $207.74 | 1.7× |
| Multiplan | 1 | 2 | $261.60 | $262.55 | $263.50 | 1.0× |
| va community care network | 1 | 2 | $123.81 | $138.85 | $153.88 | 1.2× |
| amerigroup | 1 | 2 | $123.81 | $138.85 | $153.88 | 1.2× |
| christian county health dept-cchd | 1 | 1 | $102.79 | $102.79 | $102.79 | 1.0× |
| center care | 1 | 1 | $233.62 | $233.62 | $233.62 | 1.0× |
| beacon health | 1 | 1 | $102.79 | $102.79 | $102.79 | 1.0× |
| First Health | 1 | 1 | $263.50 | $263.50 | $263.50 | 1.0× |
| commonwealth health alliance | 1 | 1 | $279.00 | $279.00 | $279.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Mcdowell Arh | Mcdowell | KY | 10 | $492.00 | $295.20 | $30.94 | $83.64 | $432.96 |
| Harlan Arh | Harlan | KY | 8 | $1,104.00 | $662.40 | $176.64 | $742.99 | $1,026.72 |
| Middlesboro Arh | Middlesboro | KY | 10 | $1,159.00 | $695.40 | $33.42 | $200.73 | $1,077.87 |
| Jennie Stuart Medical Center | Hopkinsville | KY | 16 | $310.00 | $96.10 | $102.79 | $153.88 | $295.28 |
| Hazard Arh | Hazard | KY | 10 | $952.00 | $571.20 | $40.84 | $121.21 | $856.80 |
| Whitesburg Arh | Whitesburg | KY | 7 | $341.00 | $204.60 | $45.50 | $114.34 | $139.05 |
| Tug Valley Arh | South Williamson | KY | 11 | $1,159.00 | $695.40 | $27.85 | $114.34 | $1,043.10 |
| Paintsville Arh Hospital | Paintsville | KY | 9 | $1,104.00 | $662.40 | $25.99 | $114.34 | $965.23 |
| Highlands Regional Medical Center | Prestonsburg | KY | 10 | $341.00 | $204.60 | $52.78 | $114.34 | $188.66 |
| Spring View Hospital | Lebanon | KY | 0 | $739.34 | $295.74 | — | — | — |
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.