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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in AR

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Hospitals
5
Min
$150.81
Median
$211.61
Max
$1,904.71
Range multiplier
12.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare423$20.80$188.06$1,904.7191.6×
Blue Cross Blue Shield218$150.81$192.75$338.632.2×
carelon114$67.64$124.45$181.262.7×
amerihealth112$63.00$111.21$193.943.1×
community care behavorial health university of pittsburgh medical center112$110.00$209.00$262.002.4×
community care behavorial health healthchoices19$110.00$209.00$262.002.4×
geisinger18$87.00$133.22$188.062.2×
Medicare27$150.81$150.81$179.881.2×
Cigna47$150.81$1,904.71$1,904.7112.6×
Medicare Advantage26$1,904.71$1,904.71$1,904.711.0×
Aetna36$150.81$1,904.71$1,904.7112.6×
univera16$152.38$167.18$203.051.3×
pennsylvania health and wellness14$79.20$122.58$176.312.2×
Humana34$150.81$1,027.76$1,904.7112.6×
Medicaid33$12.00$1,904.71$1,904.71158.7×
TRICARE13$150.81$150.81$150.811.0×
Ambetter33$161.37$1,904.71$1,904.7111.8×
qualchoice22$1,904.71$1,904.71$1,904.711.0×
american health plan22$1,904.71$1,904.71$1,904.711.0×
Anthem BCBS12$164.48$251.56$338.632.1×
arkansas firstsource12$164.48$251.56$338.632.1×
arkansas total care (passe)22$1,904.71$1,904.71$1,904.711.0×
arkansas totalcare12$12.00$19.62$27.242.3×
blue advantage12$164.48$251.56$338.632.1×
blue card12$164.48$251.56$338.632.1×
care source (passe)22$1,904.71$1,904.71$1,904.711.0×
devoted22$1,904.71$1,904.71$1,904.711.0×
empower22$1,904.71$1,904.71$1,904.711.0×
essence22$1,904.71$1,904.71$1,904.711.0×
health advantage12$164.48$251.56$338.632.1×
jefferson health plans12$91.80$135.82$179.842.0×
Multiplan22$1,619.00$1,619.00$1,619.001.0×
municipal league22$1,904.71$1,904.71$1,904.711.0×
phcs22$1,504.72$1,504.72$1,504.721.0×
abcbs22$1,904.71$1,904.71$1,904.711.0×
summit (passe)22$1,904.71$1,904.71$1,904.711.0×
vaccn22$1,904.71$1,904.71$1,904.711.0×
mutual of omaha11$376.26$376.26$376.261.0×
optumhealth11$150.81$150.81$150.811.0×
CHAMPVA11$150.81$150.81$150.811.0×
va med center11$150.81$150.81$150.811.0×
windsor sterling11$150.81$150.81$150.811.0×
qualchoice advantage11$150.81$150.81$150.811.0×
qualchoice exchange11$376.26$376.26$376.261.0×
qualchoice of arkansas11$376.26$376.26$376.261.0×
Self-Pay (Cash)11$188.13$188.13$188.131.0×
WellCare11$150.81$150.81$150.811.0×
american health plans11$186.67$186.67$186.671.0×
amco11$376.26$376.26$376.261.0×
all payors11$211.61$211.61$211.611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Conway Regional Medical Center IncConwayAR1$211.61$207.38$211.61$211.61$211.61
Mercy Rehab Hospital Fort SmithFort SmithAR20$1,904.71$1,904.71$1,504.72$1,904.71$1,904.71
Arkansas Childrens NorthwestSpringdaleAR20$1,904.71$1,904.71$1,504.72$1,904.71$1,904.71
Drew Memorial Hospital IncMonticelloAR15$677.00$528.06$20.80$176.31$472.50
Ouachita County Medical CenterCamdenAR30$376.26$12.00$150.81$376.26

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.