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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in MN

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Hospitals
19
Min
$133.28
Median
$312.81
Max
$509.24
Range multiplier
3.8×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11206$462.84$512.5$687.241.5×
medica12152$41.24$494.41$588.1914.3×
health partners12145$39.27$496.83$1,410.7435.9×
Blue Cross Blue Shield18133$35.7$284.23$2,797.6778.4×
sanford health plan1287$113.05$395.97$455.054.0×
Multiplan1282$113.05$571.43$634.955.6×
security health plan1181$122.57$490.76$545.314.4×
First Health1575$170.4$551.26$612.543.6×
wisconsin physician services1170$548.1$606.03$672.31.2×
private healthcare systems1170$517.65$572.37$634.951.2×
UnitedHealthcare1869$86.87$304.84$643.467.4×
ucare1255$44.99$146.52$421.529.4×
optum427$127.36$418.32$450.23.5×
primewest1122$91.85$107.21$122.571.3×
itasca medical care1122$91.85$107.21$122.571.3×
Humana419$42.84$418.32$438.7510.2×
south country health alliance918$91.85$107.21$122.571.3×
Medicaid617$4.9$153.45$415.0184.7×
interlink113$456.75$505.22$506.251.1×
Cigna113$341.04$377.23$3781.1×
emerging therapies113$389.76$431.12$4321.1×
Aetna113$414.12$458.07$4591.1×
commercial | sanford health plan | all plans212$109.25$391.88$706.86.5×
WellCare1111$122.57$122.57$122.571.0×
hennepin health910$103.79$103.79$103.791.0×
Medicare69$127.67$133.28$153.271.2×
commercial | health partners | all plans27$100.97$328.92$653.246.5×
commercial | preferred one | ppo14$328.29$430.13$691.922.1×
hp14$79.25$277.38$3764.7×
healthpartners [900713]44$218.06$453.5$636.222.9×
commercial | medica | all plans24$100.17$114.68$297.893.0×
medica [900156]33$369.31$538.79$678.621.8×
commercial | preferred one | all other plans11$212.94$212.94$212.941.0×
blue plus11$136.71$136.71$136.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
FAIRVIEW SOUTHDALE HOSPITALEDINAMN18$675$423.23$91.85$509.24$1,410.74
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$675$286.88$91.85$507.98$1,410.74
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$675$286.88$91.85$507.98$1,410.74
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$675$286.88$91.85$507.98$1,410.74
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$675$286.88$91.85$507.98$1,410.74
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN17$675$286.88$91.85$507.98$1,410.74
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$675$423.23$91.85$506.91$1,410.73
FAIRVIEW NORTHLAND REGPRINCETONMN18$675$423.23$91.85$506.73$1,410.73
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$675$423.23$91.85$481.11$1,410.73
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN9$744$460.54$77.57$312.81$706.8
HUTCHINSON HEALTH CAREHUTCHINSONMN7$598$275.08$127.67$285.29$538.2
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$376$251.92$79.25$277.38$376
JOHNSON MEMORIAL HOSPITALDAWSONMN5$499.68$424.73$136.71$275.57$544.54
RANGE REGIONAL HEALTH SERVICESHIBBINGMN16$747$317.48$91.85$218.36$2,797.67
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN15$747$317.48$91.85$214.51$1,711.95
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$563$343.43$98.07$190.74$546.5
ST. GABRIELS HOSPITALLITTLE FALLSMN13$591$295.5$35.7$163.91$561.45
REGIONS HOSPITALST PAULMN7$555$144.3$121.68$146.92$678.62
LAKEVIEW MEMORIALSTILLWATERMN6$213$78.81$4.9$133.28$636.22

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.