▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in NC
Hospitals
22
Min
$62.00
Median
$162.07
Max
$431.34
Range multiplier
7.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| bcbsfl | 9 | 160 | $62.00 | $71.00 | $420.48 | 6.8× |
| Aetna | 21 | 132 | $50.00 | $134.75 | $589.66 | 11.8× |
| Blue Cross Blue Shield | 21 | 88 | $12.60 | $131.90 | $635.52 | 50.4× |
| UnitedHealthcare | 21 | 75 | $12.60 | $130.33 | $451.67 | 35.8× |
| medcost | 19 | 39 | $71.00 | $269.21 | $577.32 | 8.1× |
| Cigna | 21 | 37 | $38.70 | $123.71 | $537.87 | 13.9× |
| Humana | 20 | 33 | $72.00 | $126.18 | $747.12 | 10.4× |
| WellCare | 20 | 21 | $12.60 | $126.83 | $155.46 | 12.3× |
| Multiplan | 10 | 12 | $75.00 | $90.00 | $696.18 | 9.3× |
| amerihealth | 10 | 12 | $12.60 | $22.49 | $678.73 | 53.9× |
| carolina complete | 9 | 10 | $12.35 | $19.48 | $101.73 | 8.2× |
| nc department of public safety | 9 | 10 | $12.35 | $19.48 | $101.73 | 8.2× |
| amerihealth caritas | 10 | 10 | $128.10 | $128.10 | $130.33 | 1.0× |
| amps | 9 | 10 | $55.00 | $60.00 | $321.20 | 5.8× |
| atlantic corporation dba atlantic packaging | 9 | 10 | $46.00 | $55.25 | $268.64 | 5.8× |
| CareSource | 9 | 10 | $33.00 | $40.00 | $192.72 | 5.8× |
| carolina complete health | 10 | 10 | $127.77 | $128.10 | $128.10 | 1.0× |
| three rivers provider network | 9 | 10 | $97.00 | $97.00 | $566.48 | 5.8× |
| employers choice network | 9 | 10 | $97.00 | $97.00 | $566.48 | 5.8× |
| plotkin health | 9 | 10 | $60.00 | $60.00 | $350.40 | 5.8× |
| phcs | 9 | 10 | $75.00 | $90.00 | $438.00 | 5.8× |
| vaya | 9 | 9 | $128.10 | $128.10 | $128.10 | 1.0× |
| trillium | 9 | 9 | $126.83 | $126.83 | $128.10 | 1.0× |
| primary physician care | 8 | 9 | $74.00 | $88.00 | $432.16 | 5.8× |
| employers health network | 9 | 9 | $240.84 | $240.84 | $240.84 | 1.0× |
| alliance | 9 | 9 | $129.37 | $129.37 | $129.37 | 1.0× |
| partners | 9 | 9 | $126.83 | $128.10 | $128.10 | 1.0× |
| healthy blue | 9 | 9 | $128.10 | $128.10 | $128.10 | 1.0× |
| choicecare | 9 | 9 | $204.58 | $204.58 | $204.58 | 1.0× |
| ortho carolina | 4 | 8 | $154.64 | $174.48 | $194.32 | 1.3× |
| Ambetter | 4 | 4 | $30.00 | $217.74 | $217.74 | 7.3× |
| carolina caring | 1 | 3 | $340.05 | $422.34 | $672.41 | 2.0× |
| devoted health | 2 | 3 | $142.82 | $161.68 | $177.38 | 1.2× |
| First Health | 2 | 3 | $418.20 | $806.55 | $806.55 | 1.9× |
| Molina | 1 | 3 | $142.82 | $177.38 | $238.48 | 1.7× |
| Self-Pay (Cash) | 1 | 2 | $636.75 | $636.75 | $636.75 | 1.0× |
| beechstreet | 2 | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| surgery plus | 1 | 2 | $238.04 | $266.84 | $295.64 | 1.2× |
| beech street | 1 | 2 | $696.18 | $696.18 | $696.18 | 1.0× |
| orthocarolina | 1 | 2 | $154.64 | $174.48 | $194.32 | 1.3× |
| corporate benefits service | 1 | 2 | $365.89 | $410.17 | $454.44 | 1.2× |
| healthteam | 1 | 2 | $142.82 | $160.10 | $177.38 | 1.2× |
| longevity health | 1 | 2 | $142.82 | $160.10 | $177.38 | 1.2× |
| troy | 1 | 1 | $155.46 | $155.46 | $155.46 | 1.0× |
| va communicare care | 1 | 1 | $155.46 | $155.46 | $155.46 | 1.0× |
| vaya behavioral health | 1 | 1 | $130.33 | $130.33 | $130.33 | 1.0× |
| vaya health | 1 | 1 | $157.01 | $157.01 | $157.01 | 1.0× |
| alliance behavioral health | 1 | 1 | $130.33 | $130.33 | $130.33 | 1.0× |
| wellpoint | 1 | 1 | $88.72 | $88.72 | $88.72 | 1.0× |
| liberty | 1 | 1 | $158.57 | $158.57 | $158.57 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Thomasville Medical Center | Thomasville | NC | 20 | — | — | $18.17 | $69.35 | $97.00 |
| Forsyth Memorial Hospital Inc | Winston Salem | NC | 21 | — | — | $18.57 | $68.70 | $97.00 |
| Medical Park Hospital | Winston-Salem | NC | 21 | — | — | $23.71 | $68.70 | $97.00 |
| Brunswick Community Hospital | Bolivia | NC | 21 | — | — | $14.08 | $62.20 | $97.00 |
| Novant Health Ballantyne Medical Ctr | Charlotte | NC | 20 | — | — | $20.39 | $62.00 | $97.00 |
| Presbyterian Hospital Matthews | Matthews | NC | 20 | — | — | $13.01 | $62.00 | $97.00 |
| Presbyterian Hospital Huntersville | Huntersville | NC | 20 | — | — | $12.35 | $62.00 | $97.00 |
| Novant Health Mint Hill Medical Ctr | Charlotte | NC | 20 | — | — | $32.40 | $62.00 | $97.00 |
| New Hanover Regional Medical Center | Wilmington | NC | 8 | $697.00 | $130.82 | $88.72 | $431.34 | $678.73 |
| Presbyterian Hospital | Charlotte | NC | 20 | $584.00 | $292.00 | $81.17 | $335.52 | $566.48 |
| Gaston Memorial Hospital | Gastonia | NC | 26 | $849.00 | $849.00 | $127.77 | $238.04 | $806.55 |
| Atrium Health Anson | Wadesboro | NC | 17 | — | — | $123.71 | $163.23 | $445.66 |
| Atrium Health Lincoln | Lincolnton | NC | 18 | — | — | $123.71 | $163.23 | $445.66 |
| Atrium Health Stanly | Albemarle | NC | 17 | — | — | $123.71 | $163.23 | $445.66 |
| Carolinas Medical Center | Charlotte | NC | 17 | — | — | $123.71 | $162.07 | $445.66 |
| Atrium Health Cleveland | Shelby | NC | 16 | — | — | $123.71 | $162.07 | $445.66 |
| Atrium Health Kings Mountain | Kings Mountain | NC | 16 | — | — | $123.71 | $162.07 | $445.66 |
| Atrium Health Pineville | Charlotte | NC | 17 | — | — | $123.71 | $162.07 | $445.66 |
| Atrium Health Cabarrus | Concord | NC | 17 | — | — | $123.71 | $162.07 | $445.66 |
| Atrium Health Union | Monroe | NC | 17 | — | — | $123.71 | $162.07 | $445.66 |
| Columbus Regional Healthcare System | Whiteville | NC | 11 | — | — | $155.46 | $157.01 | $163.23 |
| Harris Regional Hospital | Sylva | NC | 0 | $444.59 | $177.84 | — | — | — |
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.