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Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$100.63
Median
$223.47
Max
$223.47
Range multiplier
2.2×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $43.95 | $168.03 | $294.81 | 6.7× |
| UnitedHealthcare | 2 | 7 | $70.71 | $219.21 | $332.21 | 4.7× |
| Blue Cross Blue Shield | 2 | 6 | $79.45 | $147.16 | $213.86 | 2.7× |
| Aetna | 2 | 4 | $81.83 | $187.41 | $294.24 | 3.6× |
| Cigna | 2 | 4 | $29.73 | $153.44 | $299.77 | 10.1× |
| VA Health | 2 | 2 | $79.45 | $146.14 | $212.82 | 2.7× |
| amerihealth negotiated charge | 2 | 2 | $95.92 | $142.21 | $188.51 | 2.0× |
| hscsn negotiated charge | 2 | 2 | $290.7 | $294.67 | $298.64 | 1.0× |
| Multiplan | 2 | 2 | $318.54 | $324 | $329.46 | 1.0× |
| pfc negotiated charge | 2 | 2 | $251.94 | $255.38 | $258.82 | 1.0× |
| TRICARE | 2 | 2 | $290.7 | $294.67 | $298.64 | 1.0× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $95.92 | $142.21 | $188.51 | 2.0× |
| medstar family choice maryland negotiated charge | 2 | 2 | $114.57 | $163.61 | $212.65 | 1.9× |
| magellan behavioral health negotiated charge** | 1 | 1 | $32.51 | $32.51 | $32.51 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $358.36 | $358.36 | $358.36 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $251.94 | $251.94 | $251.94 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NATIONAL REHABILITATION HOSPITAL | WASHINGTON | DC | 14 | — | — | $43.95 | $223.47 | $329.46 |
| WASHINGTON HOSPITAL CENTER | WASHINGTON | DC | 15 | — | — | $29.73 | $100.63 | $358.36 |
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.