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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
$288.50
Max
$423.70
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$1.00$276.37$1,174.501174.5×
Cigna426$1.00$384.23$1,601.861601.9×
Medicaid112$1.00$96.06$949.54949.5×
First Health311$272.34$519.30$1,282.504.7×
Health Net18$127.20$636.81$1,309.5010.3×
WellCare46$77.98$109.48$360.104.6×
Humana56$127.20$255.25$435.763.4×
CareSource35$79.50$126.40$367.094.6×
alliant health plan24$346.50$392.00$480.901.4×
amerigroup community care23$69.02$87.15$251.913.6×
dodge cty op rate22$138.48$138.48$138.481.0×
alliant op rate22$288.50$288.50$288.501.0×
phcs op rate22$530.84$530.84$530.841.0×
beech street op rate22$519.30$519.30$519.301.0×
secure health op rate22$288.50$288.50$288.501.0×
evernorth behavioral health11$171.42$171.42$171.421.0×
arizona complete health11$127.20$127.20$127.201.0×
banner health11$127.20$127.20$127.201.0×
care 1st11$127.20$127.20$127.201.0×
acchs11$127.20$127.20$127.201.0×
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$1,350.00$1,001.70$127.20$423.70$1,309.50
Union General HospitalBlairsvilleGA8$625.00$312.50$69.02$334.62$531.25
Perry HospitalPerryGA11$95.48$290.72$530.84
Houston Medical CenterWarner RobinsGA12$120.50$288.50$530.84
Chatuge Regional HospitalHiwasseeGA9$687.00$343.50$80.00$259.47$583.95
St. Marys Sacred Heart HospitalLavoniaGA1$1,083.00$433.20$171.42$171.42$171.42
Southern Regional Medical CenterRiverdaleGA2$786.25$145.64$145.64$435.76
Dodge County HospitalEastmanGA5$1,779.84$1.00$117.06$1,601.86
Southwell MedicalAdelGA0$993.00$496.50

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.