▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in NC
Hospitals
22
Min
$62
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 | $71 | $420.48 | 6.8× |
| Aetna | 21 | 132 | $50 | $134.75 | $589.66 | 11.8× |
| Blue Cross Blue Shield | 21 | 88 | $12.6 | $131.9 | $635.52 | 50.4× |
| UnitedHealthcare | 21 | 75 | $12.6 | $130.33 | $451.67 | 35.8× |
| medcost | 19 | 39 | $71 | $269.21 | $577.32 | 8.1× |
| Cigna | 21 | 37 | $38.7 | $123.71 | $537.87 | 13.9× |
| Humana | 20 | 33 | $72 | $126.18 | $747.12 | 10.4× |
| WellCare | 20 | 21 | $12.6 | $126.83 | $155.46 | 12.3× |
| Multiplan | 10 | 12 | $75 | $90 | $696.18 | 9.3× |
| amerihealth | 10 | 12 | $12.6 | $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 | $128.1 | $128.1 | $130.33 | 1.0× |
| amps | 9 | 10 | $55 | $60 | $321.2 | 5.8× |
| atlantic corporation dba atlantic packaging | 9 | 10 | $46 | $55.25 | $268.64 | 5.8× |
| CareSource | 9 | 10 | $33 | $40 | $192.72 | 5.8× |
| carolina complete health | 10 | 10 | $127.77 | $128.1 | $128.1 | 1.0× |
| three rivers provider network | 9 | 10 | $97 | $97 | $566.48 | 5.8× |
| employers choice network | 9 | 10 | $97 | $97 | $566.48 | 5.8× |
| plotkin health | 9 | 10 | $60 | $60 | $350.4 | 5.8× |
| phcs | 9 | 10 | $75 | $90 | $438 | 5.8× |
| vaya | 9 | 9 | $128.1 | $128.1 | $128.1 | 1.0× |
| trillium | 9 | 9 | $126.83 | $126.83 | $128.1 | 1.0× |
| primary physician care | 8 | 9 | $74 | $88 | $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 | $128.1 | $128.1 | 1.0× |
| healthy blue | 9 | 9 | $128.1 | $128.1 | $128.1 | 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 | $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 | $418.2 | $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 | $90 | $90 | 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 | $160.1 | $177.38 | 1.2× |
| longevity health | 1 | 2 | $142.82 | $160.1 | $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 |
| FORSYTH MEMORIAL HOSPITAL INC | WINSTON SALEM | NC | 21 | — | — | $18.57 | $68.7 | $97 |
| MEDICAL PARK HOSPITAL | WINSTON-SALEM | NC | 21 | — | — | $23.71 | $68.7 | $97 |
| BRUNSWICK COMMUNITY HOSPITAL | BOLIVIA | NC | 21 | — | — | $14.08 | $62.2 | $97 |
| NOVANT HEALTH BALLANTYNE MEDICAL CTR | CHARLOTTE | NC | 20 | — | — | $20.39 | $62 | $97 |
| PRESBYTERIAN HOSPITAL MATTHEWS | MATTHEWS | NC | 20 | — | — | $13.01 | $62 | $97 |
| PRESBYTERIAN HOSPITAL HUNTERSVILLE | HUNTERSVILLE | NC | 20 | — | — | $12.35 | $62 | $97 |
| NOVANT HEALTH MINT HILL MEDICAL CTR | CHARLOTTE | NC | 20 | — | — | $32.4 | $62 | $97 |
| NEW HANOVER REGIONAL MEDICAL CENTER | WILMINGTON | NC | 8 | $697 | $130.82 | $88.72 | $431.34 | $678.73 |
| PRESBYTERIAN HOSPITAL | CHARLOTTE | NC | 20 | $584 | $292 | $81.17 | $335.52 | $566.48 |
| GASTON MEMORIAL HOSPITAL | GASTONIA | NC | 26 | $849 | $849 | $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.