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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in MO

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Hospitals
9
Min
$90.81
Median
$1,904.52
Max
$1,904.52
Range multiplier
21.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS29$1,447.44$1,904.52$1,904.521.3×
UnitedHealthcare28$1,904.52$1,904.52$1,904.521.0×
Aetna36$90.81$1,904.52$1,904.5221.0×
Cigna25$1,904.52$1,904.52$1,904.521.0×
Medicaid23$1,904.52$1,904.52$1,904.521.0×
Humana23$1,904.52$1,904.52$1,904.521.0×
healthlink hmo22$1,904.52$1,904.52$1,904.521.0×
essence22$1,904.52$1,904.52$1,904.521.0×
Blue Cross Blue Shield22$90.81$997.67$1,904.5221.0×
healthlink ppo22$1,904.52$1,904.52$1,904.521.0×
WellCare22$1,904.52$1,904.52$1,904.521.0×
Meritain Health12$1,904.52$1,904.52$1,904.521.0×
medica22$1,904.52$1,904.52$1,904.521.0×
Ambetter22$1,904.52$1,904.52$1,904.521.0×
devoted health11$1,904.52$1,904.52$1,904.521.0×
devoted healthcare11$1,904.52$1,904.52$1,904.521.0×
diversified plastics11$1,904.52$1,904.52$1,904.521.0×
dora school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
easter seals midwest11$1,904.52$1,904.52$1,904.521.0×
Empire BCBS11$1,904.52$1,904.52$1,904.521.0×
employers benefit alliance11$1,904.52$1,904.52$1,904.521.0×
evolutions11$1,904.52$1,904.52$1,904.521.0×
fabick cat11$1,904.52$1,904.52$1,904.521.0×
fair grove school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
First Health11$1,390.30$1,390.30$1,390.301.0×
Health Net11$1,904.52$1,904.52$1,904.521.0×
health systems, inc.11$1,904.52$1,904.52$1,904.521.0×
healthlink workcomp11$1,618.84$1,618.84$1,618.841.0×
healthy blue (missouri care)11$1,904.52$1,904.52$1,904.521.0×
heart of america (tri state healthcare coalition – med pay)11$1,904.52$1,904.52$1,904.521.0×
hickory county skyline school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
home state health plan, inc.11$1,904.52$1,904.52$1,904.521.0×
homestate health plan11$1,904.52$1,904.52$1,904.521.0×
j and m farms, inc. (tri-state healthcare coalition)11$1,904.52$1,904.52$1,904.521.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$1,904.52$1,904.52$1,904.521.0×
laclede county school district conway (smbc)11$1,904.52$1,904.52$1,904.521.0×
lebanon school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
marshfield school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
mercy charity contract11$1,904.52$1,904.52$1,904.521.0×
meridian healthcare of illinois mc plus11$90.81$90.81$90.811.0×
mers goodwill11$1,904.52$1,904.52$1,904.521.0×
missouri state university11$1,904.52$1,904.52$1,904.521.0×
mount vernon school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
mountain grove r-111 school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
mountain view school district (smbc)11$1,904.52$1,904.52$1,904.521.0×
Multiplan11$1,904.52$1,904.52$1,904.521.0×
ozarks community hospital11$1,904.52$1,904.52$1,904.521.0×
pathway/pathway x11$1,904.52$1,904.52$1,904.521.0×
phcs savility11$1,904.52$1,904.52$1,904.521.0×
quality collisson group11$1,904.52$1,904.52$1,904.521.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ranken JordanMaryland HeightsMO3$601.70$601.70$90.81$90.81$90.81
Mercy Hospital - St. LouisSt. LouisMO19$1,904.52$1,904.52$1,904.52$1,904.52$1,904.52
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$1,904.52$1,904.52$1,142.71$1,904.52$1,904.52
Missouri Delta Medical CenterSikestonMO0$477.75$119.44
Harrison County Community HospitalBethanyMO0$352.00$176.00
Barton County Memorial HospitalLamarMO0$405.52$129.36
Cox-Monett HospitalMonettMO0$332.61$101.45
CoxhealthSpringfieldMO0$405.52$102.19
Cox Medical Center BransonBransonMO0$405.52$92.05

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.