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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
Median
$137.07
Max
$174.69
Range multiplier
2.2×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare427$56.79$138$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$121.65$277.313.1×
Aetna39$85$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$103.72$174.693.2×
fidelis 515512$172.92$195.31$217.71.3×
healthcare highways12$44$54.5$651.5×
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$87.5$901.1×
preferred community choice11$92$92$921.0×
Self-Pay (Cash)11$35.1$35.1$35.11.0×
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$50$501.0×
generic hospice vbid [10940000101]11$121.76$121.76$121.761.0×
healthsmart11$94$94$941.0×
medica11$42$42$421.0×
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$80$801.0×
osma health11$90$90$901.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JEFFERSON COUNTY HOSPITALFAYETTEMS13$35.1$80$94
MISSISSIPPI METHODIST REHAB CENTERJACKSONMS7$94.01$174.69$202.65
MONTFORT JONES MEMORIAL HOSPITALKOSCIUSKOMS15$451$268.93$69.13$137.07$408.14
METHODIST H/C OLIVE BRANCH HOSPITALOLIVE BRANCHMS14$339$74.58$56.79$121.76$163.06
LAIRD HOSPITALUNIONMS0$414$252.54
SCOTT REGIONAL HOSPITALMORTONMS0$414$260.82
DELTA HEALTH-NORTHWEST REGIONALCLARKSDALEMS0$84$42
JOHN C. STENNIS MEMORIAL HOSPITALDEKALBMS0$414$285.66
DELTA HEALTH-THE MEDICAL CENTERGREENVILLEMS0$84$42
MARION GENERAL HOSPITALCOLUMBIAMS0$236$141.6
H.C. WATKINS MEMORIAL HOSPITALQUITMANMS0$414$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.