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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in OK

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Hospitals
6
Min
$80.00
Median
$205.51
Max
$1,941.50
Range multiplier
24.3×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield533$36.07$128.05$1,941.5053.8×
Aetna622$69.00$144.29$1,941.5028.1×
Humana517$54.00$144.29$1,941.5036.0×
UnitedHealthcare513$68.00$136.02$1,941.5028.6×
community care212$70.00$221.91$256.093.7×
healthcare highways512$25.00$72.13$1,456.1358.2×
First Health411$59.00$90.00$218.743.7×
Cigna511$70.00$128.05$1,941.5027.7×
Medicare28$128.05$128.05$128.051.0×
preferred community choice35$76.00$92.00$240.933.2×
webtpa hobby lobby hch24$53.00$110.51$168.023.2×
Ambetter24$179.27$179.27$179.271.0×
GEHA24$136.02$136.02$136.021.0×
global health24$63.00$131.36$199.723.2×
healthscope24$46.00$95.91$145.823.2×
manhattan life24$69.00$143.87$218.743.2×
Medicare Advantage24$131.89$131.89$131.891.0×
Multiplan24$90.00$187.66$285.313.2×
Oscar Health24$46.00$95.91$145.823.2×
phcs24$70.00$145.96$221.913.2×
sana benefits24$65.00$135.53$206.063.2×
the kempton group24$320.12$320.12$320.121.0×
ufcw24$65.00$135.53$206.063.2×
va ccn24$128.05$128.05$128.051.0×
webtpa chickasaw nation hch24$47.00$98.00$148.993.2×
medica33$42.00$1,941.50$1,941.5046.2×
healthsmart33$94.00$1,941.50$1,941.5020.7×
Self-Pay (Cash)33$35.10$1,941.50$1,941.5055.3×
globalhealth/generations22$1,941.50$1,941.50$1,941.501.0×
veterans eval services12$128.05$128.05$128.051.0×
healthchoice22$1,941.50$1,941.50$1,941.501.0×
globalhealth22$1,941.50$1,941.50$1,941.501.0×
Centene22$1,941.50$1,941.50$1,941.501.0×
oklahoma health network (ohn)11$80.00$80.00$80.001.0×
osma health11$90.00$90.00$90.001.0×
friday health plan11$50.00$50.00$50.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jefferson County HospitalWaurikaOK13$35.10$80.00$94.00
Nowata Health CenterNowataOK3$616.75$228.20$140.86$205.51$220.19
Mercy Rehab Hospital Oklahoma CityOklahoma CityOK13$1,941.50$1,941.50$1,456.13$1,941.50$1,941.50
Mercy Rehab Hospital Oklahoma City SOklahoma CityOK13$1,941.50$1,941.50$1,456.13$1,941.50$1,941.50
Oklahoma Heart HospitalOklahoma CityOK25$317.01$156.97$25.00$128.05$320.12
Oklahoma Heart Hospital SouthOklahoma CityOK26$317.01$156.97$25.00$128.05$320.12

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.