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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$118.01
Median
$129.06
Max
$139.72
Range multiplier
1.2×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna311$91.52$118.01$332.023.6×
Humana29$102.32$142.51$325.803.2×
Blue Cross Blue Shield28$106.65$122.93$187.651.8×
Kaiser Permanente25$104.89$136.21$151.471.4×
Molina25$181.20$263.88$339.921.9×
Multiplan25$101.65$125.88$176.101.7×
allied benefit systems llc [110104]14$91.52$111.71$136.161.5×
chpw [130116]13$170.54$223.55$319.921.9×
UnitedHealthcare33$118.01$139.72$143.781.2×
Medicare13$139.72$139.72$146.711.1×
bh mnh [130108]12$50.00$50.00$50.001.0×
Medicare Advantage12$127.84$127.84$127.841.0×
the health plan12$100.62$100.62$100.621.0×
bh managed health network [130106]12$50.00$50.00$50.001.0×
first choice [8009]11$118.01$118.01$118.011.0×
first choice generic [8999]11$118.01$118.01$118.011.0×
First Health11$118.01$118.01$118.011.0×
GEHA11$118.01$118.01$118.011.0×
Ambetter11$104.90$104.90$104.901.0×
chp advantage [4001]11$146.60$146.60$146.601.0×
ameriben [8000]11$118.01$118.01$118.011.0×
bh optum health medadvantage [210117]11$139.72$139.72$139.721.0×
mega life [8005]11$118.01$118.01$118.011.0×
mid west natl life [8006]11$118.01$118.01$118.011.0×
wellpoint [6009]11$51.14$51.14$51.141.0×
wellpoint medadvantage [210115]11$139.72$139.72$139.721.0×
mutual of omaha [8007]11$118.01$118.01$118.011.0×
mva farmers [1026]11$125.88$125.88$125.881.0×
mva progressive [1027]11$125.88$125.88$125.881.0×
mva state farm [1028]11$125.88$125.88$125.881.0×
pacific source [8008]11$118.01$118.01$118.011.0×
pacific source administrators [8010]11$118.01$118.01$118.011.0×
asuris truadvantage [4011]11$127.84$127.84$127.841.0×
the health plan hmo11$152.88$152.88$152.881.0×
umr11$143.78$143.78$143.781.0×
chpw med advantage [210102]11$139.72$139.72$139.721.0×
Cigna11$118.01$118.01$118.011.0×
community health network of wa [1055]11$216.97$216.97$216.971.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley Medical CenterRentonWA15$432.00$302.40$50.00$139.72$339.92
East Adams Rural HospitalRitzvilleWA5$341.00$204.60$100.62$129.06$160.16
Wenatchee Valley HospitalWenatcheeWA27$131.12$118.01$51.14$118.01$263.88

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.