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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$80.00
Median
$137.07
Max
$174.69
Range multiplier
2.2×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare427$56.79$138.00$174.693.1×
Medicare223$100.33$125.27$178.941.8×
Medicaid223$69.13$114.56$169.322.4×
Blue Cross Blue Shield316$99.37$161.44$221.262.2×
Cigna312$90.00$121.65$277.313.1×
Aetna39$85.00$108.88$174.692.1×
excellus 220118$108.88$140.52$179.781.7×
independent health 515617$117.65$148.12$174.261.5×
Humana46$54.00$103.72$174.693.2×
fidelis 515512$172.92$195.31$217.701.3×
healthcare highways12$44.00$54.50$65.001.5×
capital district physicians health plan (cdphp) 514912$326.84$367.49$408.141.2×
Molina22$138.04$156.37$174.691.3×
First Health12$85.00$87.50$90.001.1×
preferred community choice11$92.00$92.00$92.001.0×
Self-Pay (Cash)11$35.10$35.10$35.101.0×
total senior care 131911$113.42$113.42$113.421.0×
transplant optum tenncare [350013]11$56.79$56.79$56.791.0×
upmc health plan 513811$113.42$113.42$113.421.0×
va hospital [600005]11$121.76$121.76$121.761.0×
WellCare11$174.69$174.69$174.691.0×
american health advantage mcr adv [450117]11$121.76$121.76$121.761.0×
carecentrix [450200]11$121.76$121.76$121.761.0×
devoted health [450111]11$121.76$121.76$121.761.0×
Empire BCBS11$113.42$113.42$113.421.0×
friday health plan11$50.00$50.00$50.001.0×
generic hospice vbid [10940000101]11$121.76$121.76$121.761.0×
healthsmart11$94.00$94.00$94.001.0×
medica11$42.00$42.00$42.001.0×
Medicare Advantage11$121.76$121.76$121.761.0×
meridian11$202.65$202.65$202.651.0×
mvp 290011$267.67$267.67$267.671.0×
oklahoma health network (ohn)11$80.00$80.00$80.001.0×
osma health11$90.00$90.00$90.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jefferson County HospitalFayetteMS13$35.10$80.00$94.00
Mississippi Methodist Rehab CenterJacksonMS7$94.01$174.69$202.65
Montfort Jones Memorial HospitalKosciuskoMS15$451.00$268.93$69.13$137.07$408.14
Methodist H/C Olive Branch HospitalOlive BranchMS14$339.00$74.58$56.79$121.76$163.06
Laird HospitalUnionMS0$414.00$252.54
Scott Regional HospitalMortonMS0$414.00$260.82
Delta Health-Northwest RegionalClarksdaleMS0$84.00$42.00
John C. Stennis Memorial HospitalDekalbMS0$414.00$285.66
Delta Health-The Medical CenterGreenvilleMS0$84.00$42.00
Marion General HospitalColumbiaMS0$236.00$141.60
H.c. Watkins Memorial HospitalQuitmanMS0$414.00$277.38

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.