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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in AL

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Hospitals
16
Min
$40.00
Median
$236.03
Max
$572.76
Range multiplier
14.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna738$40.00$172.00$540.5413.5×
Humana827$90.00$359.00$538.486.0×
Aetna917$31.00$165.00$572.7618.5×
UnitedHealthcare716$57.00$221.85$236.034.1×
viva514$150.40$246.50$262.251.7×
Blue Cross Blue Shield614$286.46$286.46$572.762.0×
health spring15$104.00$149.00$157.001.5×
university of utah14$31.80$36.60$39.901.3×
pehp12$27.60$31.55$35.501.3×
harmony health plan11$572.76$572.76$572.761.0×
illinicare11$572.76$572.76$572.761.0×
injury care of utah11$78.00$78.00$78.001.0×
magellan behavioral health11$50.00$50.00$50.001.0×
magellan bh11$80.00$80.00$80.001.0×
Medicaid11$572.76$572.76$572.761.0×
meridian11$572.76$572.76$572.761.0×
Multiplan11$67.00$67.00$67.001.0×
occunet11$1,059.69$1,059.69$1,059.691.0×
select health er11$57.80$57.80$57.801.0×
sterling life insurance11$25.00$25.00$25.001.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$40.00$40.00$40.001.0×
usa managed care11$85.00$85.00$85.001.0×
viva med adv11$151.18$151.18$151.181.0×
angle insurance11$48.00$48.00$48.001.0×
blue advantage11$80.00$80.00$80.001.0×
Bright Health11$28.00$28.00$28.001.0×
county care11$572.76$572.76$572.761.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
elap11$21.18$21.18$21.181.0×
evernorth behavioral health11$171.42$171.42$171.421.0×
evernorth bh11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalChatomAL4$54.17$57.00$77.50$90.00
St. Vincents St. ClairPell CityAL8$270.71$572.76$572.76
St. Vincents EastBirminghamAL2$847.75$313.67$538.48$538.48$1,059.69
Mountain View HospitalGadsdenAL18$499.17$499.17$21.18$40.00$85.00
Coosa Valley Medical CenterSylacaugaAL4$448.00$108.00$104.00$359.00$448.00
Huntsville HospitalHuntsvilleAL6$524.50$524.50$129.00$236.03$340.93
Athens LimestoneAthensAL6$524.50$524.50$129.00$236.03$340.93
Decatur Morgan - Decatur CampusDecaturAL6$524.50$524.50$129.00$236.03$340.93
Helen Keller HospitalSheffieldAL6$524.50$524.50$129.00$236.03$340.93
Marshall Medical Centers SouthBoazAL3$493.00$493.00$150.40$172.00$221.85
Providence HospitalMobileAL1$1,083.00$433.20$171.42$171.42$171.42
Cullman RegionalCullmanAL4$1,078.84$701.00$151.18$151.18$151.18
Springhill Memorial HospitalMobileAL0$431.08$366.42
Southeast Health Medical CenterDothanAL0$535.75$214.30
Noland Hospital Dothan IiDothanAL0$2,171.20
Noland Hospital Tuscaloosa IiTuscaloosaAL0$271.85

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.