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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$93.00
Median
$257.00
Max
$597.12
Range multiplier
6.4×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1775$165.20$257.00$650.753.9×
UnitedHealthcare1968$82.00$376.67$673.608.2×
Aetna1647$78.00$331.06$660.808.5×
medica441$217.70$597.12$657.603.0×
midlands choice419$257.04$597.12$657.602.6×
Humana1618$165.20$173.46$294.551.8×
Cigna1618$100.00$341.28$676.806.8×
one world216$597.12$627.36$657.601.1×
greater omaha packing216$597.12$627.36$657.601.1×
millard public schools216$597.12$627.36$657.601.1×
health partners open network1414$279.38$279.38$279.381.0×
amerivantage1111$165.20$173.46$173.461.1×
Molina1111$74.00$168.50$168.502.3×
phcs310$550.96$609.56$671.301.2×
bc illinois community210$186.84$225.43$603.473.2×
quiktrip310$465.60$597.12$657.601.4×
Multiplan310$609.56$659.60$671.301.1×
amerigroup28$228.59$276.83$309.281.4×
timpte28$597.12$627.36$657.601.1×
Centene37$116.40$272.81$300.452.6×
amps24$483.30$563.01$653.911.4×
healthpartners14$74.00$346.50$600.008.1×
pace24$217.70$253.61$294.551.4×
great plains24$228.59$266.29$309.281.4×
iamolina24$278.16$292.25$306.341.1×
Anthem BCBS14$66.00$383.50$680.0010.3×
common ground13$65.00$65.00$65.001.0×
wisconsin physician service13$90.00$95.00$95.001.1×
health eos plus12$480.00$480.00$480.001.0×
health eos12$640.00$640.00$640.001.0×
total care12$272.81$286.63$300.451.1×
health alliance22$165.20$165.20$165.201.0×
Ambetter22$165.20$165.20$165.201.0×
meridian health plan22$173.46$173.46$173.461.0×
elap11$217.28$217.28$217.281.0×
dean health plan11$422.28$422.28$422.281.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
iowa health11$173.46$173.46$173.461.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
medical associates health plan11$289.10$289.10$289.101.0×
meridian11$173.46$173.46$173.461.0×
health partners11$257.04$257.04$257.041.0×
everpointe elite11$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$800.00$400.00$65.00$93.00$680.00
Chi Health Mercy CorningCorningIA18$685.00$328.80$267.46$597.12$671.30
Chi Health - Missouri ValleyMissouri ValleyIA19$685.00$335.65$199.65$597.12$671.30
Chi Health Mercy Council BluffsCouncil BluffsIA8$776.00$325.92$116.40$465.60$659.60
Broadlawns Medical CenterDes MoinesIA7$329.00$329.00$208.22$257.04$329.00
Trinity BettendorfBettendorfIA9$459.00$367.20$165.20$257.00$376.67
Allen Memorial HospitalWaterlooIA8$459.00$367.20$165.20$257.00$376.67
The Finley HospitalDubuqueIA12$459.00$367.20$165.20$257.00$603.47
St. Lukes Regl Medical CenterSioux CityIA8$459.00$367.20$165.20$257.00$376.67
Grinnell Regional Medical CenterGrinnellIA8$459.00$367.20$165.20$257.00$376.67
Grundy County Mem. HospitalGrundy CenterIA8$459.00$367.20$165.20$257.00$376.67
Unitypoint Health-MarshalltownMarshalltownIA8$459.00$367.20$165.20$257.00$376.67
Trinity Regional Medical CenterFort DodgeIA6$459.00$367.20$165.20$257.00$376.67
Iowa Lutheran HospitalDes MoinesIA8$459.00$367.20$165.20$257.00$376.67
St. Lukes Methodist HospitalCedar RapidsIA8$459.00$367.20$165.20$257.00$376.67
Iowa Methodist Medical CenterDes MoinesIA8$459.00$367.20$165.20$257.00$376.67
Jones Regional Medical CtrAnamosaIA8$459.00$367.20$165.20$257.00$376.67
Community Mem. Hospt. SummerSumnerIA8$459.00$367.20$165.20$257.00$376.67
Trinity MuscatineMuscatineIA10$459.00$367.20$165.20$241.22$603.47
Loring HospitalSac CityIA0$631.00$504.80
Mitchell County Regional Health CentOsageIA0$470.30$423.27
Greene County Medical CenterJeffersonIA0$677.00$379.12
Regional Health Services Of Howard CCrescoIA0$577.00
Story County HospitalNevadaIA0$880.00$704.00
Peoples Memorial HospitalIndependenceIA0$742.57$631.18
Spencer Municipal HospitalSpencerIA0$329.83$247.37
Mercy Hospital Iowa CityIowa CityIA0$750.00$360.00
Stewart Memorial HospitalLake CityIA0$593.00$474.00

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.