▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in KY
Hospitals
9
Min
$111.52
Median
$161.55
Max
$269.37
Range multiplier
2.4×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 8 | 48 | $33.42 | $166.51 | $1,420.11 | 42.5× |
| WellCare | 8 | 35 | $39.78 | $131.98 | $381.75 | 9.6× |
| Anthem BCBS | 7 | 34 | $33.42 | $204.59 | $1,335.06 | 40.0× |
| UnitedHealthcare | 8 | 27 | $33.42 | $156.59 | $1,137.62 | 34.0× |
| Humana | 7 | 20 | $33.42 | $111.52 | $390.53 | 11.7× |
| caresoure kentucky | 6 | 19 | $140.40 | $258.37 | $916.20 | 6.5× |
| umr | 7 | 12 | $104.13 | $246.00 | $1,137.62 | 10.9× |
| optum ccn region 2 | 7 | 11 | $39.78 | $156.59 | $156.59 | 3.9× |
| optum ccn region 1 | 7 | 11 | $39.78 | $156.59 | $156.59 | 3.9× |
| Molina | 6 | 9 | $33.42 | $113.75 | $282.52 | 8.5× |
| the health plan | 1 | 4 | $136.91 | $146.75 | $156.59 | 1.1× |
| Cigna | 1 | 3 | $168.36 | $203.53 | $308.98 | 1.8× |
| alliance coal | 1 | 2 | $202.03 | $253.67 | $305.30 | 1.5× |
| CareSource | 1 | 2 | $168.36 | $221.57 | $274.77 | 1.6× |
| Multiplan | 1 | 2 | $346.01 | $347.26 | $348.50 | 1.0× |
| va community care network | 1 | 2 | $168.36 | $185.95 | $203.53 | 1.2× |
| amerigroup | 1 | 2 | $168.36 | $185.95 | $203.53 | 1.2× |
| christian county health dept-cchd | 1 | 1 | $131.98 | $131.98 | $131.98 | 1.0× |
| center care | 1 | 1 | $308.98 | $308.98 | $308.98 | 1.0× |
| beacon health | 1 | 1 | $131.98 | $131.98 | $131.98 | 1.0× |
| First Health | 1 | 1 | $348.50 | $348.50 | $348.50 | 1.0× |
| commonwealth health alliance | 1 | 1 | $369.00 | $369.00 | $369.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Middlesboro Arh | Middlesboro | KY | 10 | $1,527.00 | $916.20 | $42.96 | $269.37 | $1,420.11 |
| Jennie Stuart Medical Center | Hopkinsville | KY | 16 | $410.00 | $127.10 | $131.98 | $203.53 | $390.53 |
| Paintsville Arh Hospital | Paintsville | KY | 9 | $1,454.00 | $872.40 | $33.42 | $166.51 | $1,271.23 |
| Hazard Arh | Hazard | KY | 10 | $1,259.00 | $755.40 | $52.51 | $161.55 | $1,133.10 |
| Whitesburg Arh | Whitesburg | KY | 7 | $421.00 | $252.60 | $58.50 | $156.59 | $178.78 |
| Tug Valley Arh | South Williamson | KY | 11 | $1,527.00 | $916.20 | $35.80 | $156.59 | $1,374.30 |
| Highlands Regional Medical Center | Prestonsburg | KY | 10 | $391.00 | $234.60 | $67.86 | $143.29 | $258.37 |
| Mcdowell Arh | Mcdowell | KY | 10 | $656.00 | $393.60 | $39.78 | $111.52 | $577.28 |
| Spring View Hospital | Lebanon | KY | 0 | $1,011.65 | $404.66 | — | — | — |
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.