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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in MD

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Hospitals
26
Min
$165.08
Median
$233.33
Max
$293.00
Range multiplier
1.8×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield215$138.62$258.78$288.792.1×
johns hopkins [213]111$189.55$233.33$312.661.6×
Aetna210$154.74$194.25$239.941.6×
UnitedHealthcare18$189.55$232.14$239.941.3×
Cigna27$189.55$233.33$295.131.6×
Kaiser Permanente15$267.27$319.66$329.001.2×
Multiplan15$217.98$233.33$268.331.2×
Humana24$189.55$211.44$233.331.2×
jai medical services [236]13$207.34$251.94$251.941.2×
keycare advantage [299]13$161.12$233.33$233.331.4×
md physician care [237]13$197.47$239.94$239.941.2×
Medicaid13$178.18$219.33$219.331.2×
Medicare13$189.55$233.33$233.331.2×
wellpoint [235]13$197.47$239.94$239.941.2×
alterwood health [290]13$201.42$244.74$244.741.2×
cfchp mco [239]13$189.55$233.33$233.331.2×
communicare advantage [300]13$189.55$233.33$233.331.2×
First Health13$246.42$303.33$303.331.2×
priority partners [241]13$197.47$239.94$239.941.2×
provider partners health plan [298]13$189.55$233.33$233.331.2×
all payer - maryland12$293.00$293.00$293.001.0×
usa managed care organization [301]12$419.99$419.99$419.991.0×
all payors11$211.61$211.61$211.611.0×
all payers11$393.94$393.94$393.941.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Western Maryland CenterHagerstownMD1$293.00$175.80$293.00$293.00$293.00
Greater Baltimore Medical CenterTowsonMD22$458.00$458.00$154.74$233.33$419.99
Tidalhealth Peninsula Regional IncSalisburyMD1$211.61$207.38$211.61$211.61$211.61
Kennedy KriegerBaltimoreMD4$1,275.00$1,020.00$138.62$165.08$204.98
Medstar Montgomery Medical CenterOlneyMD0$489.52$479.73———
Medstar Union Memorial HospitalBaltimoreMD0$375.94$368.42———
St. Marys HospitalLeonardtownMD0$291.84$286.00———
Chester River Hospital CenterChestertownMD0$263.70$258.43———
Medstar Harbor HospitalBaltimoreMD0$177.86$174.30———
Civista Medical CenterLa PlataMD0$246.78$241.84———
Memorial Easton219 South Washington StreetMD0$482.82$473.16———
Maryland General HospitalBaltimoreMD0$437.76$429.00———
Meritus Medical CenterHagerstownMD0$262.32$257.07———
Upper Chesapeake Medical CenterBel AirMD0$280.62$275.01———
Doctors Community HospitalLanhamMD0$569.72$558.33———
Southern Maryland HospitalClintonMD0$324.79$318.29———
Laurel Regional HospitalLaurelMD0$371.52$364.09———
Good Samaritan HospitalBaltimoreMD0$386.88$379.14———
James Lawrence Kernan HospitalBaltimoreMD0$748.32$733.35———
Medstar Southern Maryland Hospital CClintonMD0$324.79$318.29———
St. Joseph Medical CenterTowsonMD0$352.56$345.51———
Mt Washington PediatricsBaltimoreMD0$136.62$133.89———
Baltimore Washington Medical CenterGlen BurnieMD0$303.78$297.70———
University Of Maryland Med SysBaltimoreMD0$475.74$466.23———
Prince Georges Hospital Center IncLaurelMD0$379.50$371.91———
Harford Memorial HospitalHavre De GraceMD0$352.56$345.51———

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.