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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
Median
$236.03
Max
$572.76
Range multiplier
14.3×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna738$40$172$540.5413.5×
Humana827$90$359$538.486.0×
Aetna917$31$165$572.7618.5×
UnitedHealthcare716$57$221.85$236.034.1×
viva514$150.4$246.5$262.251.7×
Blue Cross Blue Shield614$286.46$286.46$572.762.0×
health spring15$104$149$1571.5×
university of utah14$31.8$36.6$39.91.3×
pehp12$27.6$31.55$35.51.3×
harmony health plan11$572.76$572.76$572.761.0×
illinicare11$572.76$572.76$572.761.0×
injury care of utah11$78$78$781.0×
magellan behavioral health11$50$50$501.0×
magellan bh11$80$80$801.0×
Medicaid11$572.76$572.76$572.761.0×
meridian11$572.76$572.76$572.761.0×
Multiplan11$67$67$671.0×
occunet11$1,059.69$1,059.69$1,059.691.0×
select health er11$57.8$57.8$57.81.0×
sterling life insurance11$25$25$251.0×
union pacific railroad11$65$65$651.0×
universal healthcare11$40$40$401.0×
usa managed care11$85$85$851.0×
viva med adv11$151.18$151.18$151.181.0×
angle insurance11$48$48$481.0×
blue advantage11$80$80$801.0×
Bright Health11$28$28$281.0×
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$70$701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WASHINGTON COUNTY HOSPITALCHATOMAL4$54.17$57$77.5$90
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$85
COOSA VALLEY MEDICAL CENTERSYLACAUGAAL4$448$108$104$359$448
HUNTSVILLE HOSPITALHUNTSVILLEAL6$524.5$524.5$129$236.03$340.93
ATHENS LIMESTONEATHENSAL6$524.5$524.5$129$236.03$340.93
DECATUR MORGAN - DECATUR CAMPUSDECATURAL6$524.5$524.5$129$236.03$340.93
HELEN KELLER HOSPITALSHEFFIELDAL6$524.5$524.5$129$236.03$340.93
MARSHALL MEDICAL CENTERS SOUTHBOAZAL3$493$493$150.4$172$221.85
PROVIDENCE HOSPITALMOBILEAL1$1,083$433.2$171.42$171.42$171.42
CULLMAN REGIONALCULLMANAL4$1,078.84$701$151.18$151.18$151.18
SPRINGHILL MEMORIAL HOSPITALMOBILEAL0$431.08$366.42
SOUTHEAST HEALTH MEDICAL CENTERDOTHANAL0$535.75$214.3
NOLAND HOSPITAL DOTHAN IIDOTHANAL0$2,171.2
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.