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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in MN

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Hospitals
19
Min
$173.18
Median
$587.16
Max
$663.79
Range multiplier
3.8×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica12152$54.41$650.82$799.8114.7×
health partners12145$51.81$675.84$1,859.8635.9×
Blue Cross Blue Shield18131$47.10$359.67$3,650.8077.5×
america's ppo10111$611.04$675.29$907.121.5×
UnitedHealthcare1868$114.61$381.92$584.145.1×
sanford health plan1256$149.15$522.68$599.454.0×
ucare1255$59.35$192.92$555.289.4×
Multiplan1151$149.15$754.39$838.105.6×
security health plan1150$166.52$647.88$719.784.3×
First Health1445$219.20$727.76$808.523.7×
private healthcare systems1039$683.40$754.64$838.101.2×
wisconsin physician services1039$723.60$799.03$887.401.2×
optum423$167.75$550.55$578.503.4×
itasca medical care1122$124.62$145.57$166.521.3×
primewest1122$124.62$145.57$166.521.3×
Medicaid618$6.46$205.80$547.5784.8×
south country health alliance918$124.62$145.57$166.521.3×
Humana314$56.52$551.05$578.5010.2×
WellCare1111$166.52$166.52$166.521.0×
hennepin health910$140.82$140.82$140.821.0×
commercial | sanford health plan | all plans210$135.85$489.73$695.405.1×
interlink19$603.00$665.46$667.501.1×
Cigna19$450.24$496.87$498.401.1×
emerging therapies19$514.56$567.86$569.601.1×
Aetna19$546.72$603.35$605.201.1×
Medicare69$173.46$181.08$208.241.2×
commercial | health partners | all plans25$125.56$413.33$601.434.8×
hp15$96.00$288.00$500.005.2×
healthpartners [900713]44$441.28$634.20$838.771.9×
medica [900156]33$486.41$789.53$893.311.8×
commercial | preferred one | ppo13$399.90$532.89$637.051.6×
commercial | medica | all plans23$124.56$134.28$152.631.2×
blue plus11$181.84$181.84$181.841.0×
commercial | preferred one | all other plans11$277.88$277.88$277.881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fairview Ridges HospitalBurnsvilleMN17$890.00$378.25$124.62$663.79$1,859.86
Healtheast St Josephs HospitalSt PaulMN17$890.00$378.25$124.62$663.79$1,859.86
M Health Fairview Bethesda HospitalSt PaulMN17$890.00$378.25$124.62$663.79$1,859.86
Healtheast Woodwinds HospitalWoodburyMN17$890.00$378.25$124.62$663.79$1,859.86
Healtheast St Johns HospitalMaplewoodMN17$890.00$378.25$124.62$663.79$1,859.86
Fairview Southdale HospitalEdinaMN18$890.00$558.03$124.62$649.17$1,859.86
Fairview Lakes Regional Medical CtrWyomingMN17$890.00$558.03$124.62$621.38$1,859.85
University Of Minnesota Medical CtrMinneapolisMN23$890.00$558.03$124.62$611.04$1,859.85
Fairview Northland RegPrincetonMN18$890.00$558.03$124.62$603.13$1,859.85
Range Regional Health ServicesHibbingMN16$986.00$419.05$124.62$587.16$3,650.80
St. Josephs Area Health ServicesPark RapidsMN9$685.00$424.02$96.46$382.02$650.75
Hutchinson Health CareHutchinsonMN7$789.00$362.94$173.46$381.34$710.10
Johnson Memorial HospitalDawsonMN4$608.96$517.62$156.16$346.34$560.24
Community Memorial HospitalCloquetMN1$500.00$335.00$96.00$288.00$500.00
Olivia Hospital And ClinicsOliviaMN7$825.00$503.25$143.72$271.30$800.83
Regions HospitalSt PaulMN7$722.00$187.72$80.83$219.20$893.31
St. Gabriels HospitalLittle FallsMN13$732.00$366.00$47.10$208.23$695.40
Lakeview MemorialStillwaterMN6$282.00$104.34$6.46$181.08$838.77
Grand Itasca Clinic And HospitalGrand RapidsMN10$124.62$173.18$2,234.00

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.