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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in MD

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Hospitals
26
Min
$121.50
Median
$176.96
Max
$244.00
Range multiplier
2.0×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield217$102.00$176.96$221.602.2×
johns hopkins [213]112$139.28$176.96$237.131.7×
Aetna210$120.91$154.17$186.801.5×
UnitedHealthcare18$139.28$179.25$185.751.3×
Cigna27$121.50$176.96$223.291.8×
Multiplan16$139.28$176.96$203.501.5×
Kaiser Permanente16$190.81$242.44$249.511.3×
keycare advantage [299]14$139.28$163.69$176.961.3×
Humana24$139.28$158.12$176.961.3×
md physician care [237]13$145.50$181.53$181.531.2×
Medicaid13$130.92$166.34$166.341.3×
Medicare13$139.28$176.96$176.961.3×
wellpoint [235]13$145.50$181.53$181.531.2×
alterwood health [290]13$148.41$185.16$185.161.2×
cfchp mco [239]13$139.28$176.96$176.961.3×
communicare advantage [300]13$139.28$176.96$176.961.3×
First Health13$181.06$230.05$230.051.3×
jai medical services [236]13$152.78$190.61$190.611.2×
priority partners [241]13$145.50$181.53$181.531.2×
provider partners health plan [298]13$139.28$176.96$176.961.3×
all payer - maryland12$244.00$244.00$244.001.0×
usa managed care organization [301]12$318.53$318.53$318.531.0×
all payors11$176.34$176.34$176.341.0×
all payers11$328.29$328.29$328.291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Western Maryland CenterHagerstownMD1$244.00$146.40$244.00$244.00$244.00
Greater Baltimore Medical CenterTowsonMD22$347.00$347.00$113.14$176.96$328.29
Tidalhealth Peninsula Regional IncSalisburyMD1$176.34$172.81$176.34$176.34$176.34
Kennedy KriegerBaltimoreMD4$900.00$720.00$102.00$121.50$139.28
Medstar Montgomery Medical CenterOlneyMD0$407.90$399.74
Medstar Union Memorial HospitalBaltimoreMD0$313.26$306.99
St. Marys HospitalLeonardtownMD0$243.15$238.29
Chester River Hospital CenterChestertownMD0$219.75$215.36
Medstar Harbor HospitalBaltimoreMD0$148.27$145.30
Civista Medical CenterLa PlataMD0$205.65$201.54
Memorial Easton219 South Washington StreetMD0$402.35$394.30
Maryland General HospitalBaltimoreMD0$364.80$357.50
Meritus Medical CenterHagerstownMD0$218.60$214.23
Upper Chesapeake Medical CenterBel AirMD0$233.85$229.17
Doctors Community HospitalLanhamMD0$474.77$465.27
Southern Maryland HospitalClintonMD0$270.72$265.31
Laurel Regional HospitalLaurelMD0$309.60$303.41
Good Samaritan HospitalBaltimoreMD0$322.44$315.99
James Lawrence Kernan HospitalBaltimoreMD0$623.60$611.13
Medstar Southern Maryland Hospital CClintonMD0$270.72$265.31
St. Joseph Medical CenterTowsonMD0$293.80$287.92
Mt Washington PediatricsBaltimoreMD0$113.85$111.57
Baltimore Washington Medical CenterGlen BurnieMD0$253.15$248.09
University Of Maryland Med SysBaltimoreMD0$396.45$388.52
Prince Georges Hospital Center IncLaurelMD0$316.25$309.93
Harford Memorial HospitalHavre De GraceMD0$293.80$287.92

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.