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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$117.06
Median
$288.5
Max
$423.7
Range multiplier
3.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield633$48.19$310.62$1,148.8523.8×
Aetna531$107.82$420.75$1,334.8812.4×
UnitedHealthcare628$1$276.37$1,174.51174.5×
Cigna426$1$384.23$1,601.861601.9×
Medicaid112$1$96.06$949.54949.5×
First Health311$272.34$519.3$1,282.54.7×
Health Net18$127.2$636.81$1,309.510.3×
WellCare46$77.98$109.48$360.14.6×
Humana56$127.2$255.25$435.763.4×
CareSource35$79.5$126.4$367.094.6×
alliant health plan24$346.5$392$480.91.4×
amerigroup community care23$69.02$87.15$251.913.6×
dodge cty op rate22$138.48$138.48$138.481.0×
alliant op rate22$288.5$288.5$288.51.0×
phcs op rate22$530.84$530.84$530.841.0×
beech street op rate22$519.3$519.3$519.31.0×
secure health op rate22$288.5$288.5$288.51.0×
evernorth behavioral health11$171.42$171.42$171.421.0×
arizona complete health11$127.2$127.2$127.21.0×
banner health11$127.2$127.2$127.21.0×
care 1st11$127.2$127.2$127.21.0×
acchs11$127.2$127.2$127.21.0×
health choice11$133.56$133.56$133.561.0×
mercy care11$133.56$133.56$133.561.0×
peach state health plan op rate11$98.44$98.44$98.441.0×
peach state hp op rate11$124.13$124.13$124.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$1,350$1,001.7$127.2$423.7$1,309.5
UNION GENERAL HOSPITALBLAIRSVILLEGA8$625$312.5$69.02$334.62$531.25
PERRY HOSPITALPERRYGA11$95.48$290.72$530.84
HOUSTON MEDICAL CENTERWARNER ROBINSGA12$120.5$288.5$530.84
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$687$343.5$80$259.47$583.95
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$1,083$433.2$171.42$171.42$171.42
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA2$786.25$145.64$145.64$435.76
DODGE COUNTY HOSPITALEASTMANGA5$1,779.84$1$117.06$1,601.86
SOUTHWELL MEDICALADELGA0$993$496.5

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.