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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$47.1$359.67$3,650.877.5×
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$838.15.6×
security health plan1150$166.52$647.88$719.784.3×
First Health1445$219.2$727.76$808.523.7×
private healthcare systems1039$683.4$754.64$838.11.2×
wisconsin physician services1039$723.6$799.03$887.41.2×
optum423$167.75$550.55$578.53.4×
itasca medical care1122$124.62$145.57$166.521.3×
primewest1122$124.62$145.57$166.521.3×
Medicaid618$6.46$205.8$547.5784.8×
south country health alliance918$124.62$145.57$166.521.3×
Humana314$56.52$551.05$578.510.2×
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$695.45.1×
interlink19$603$665.46$667.51.1×
Cigna19$450.24$496.87$498.41.1×
emerging therapies19$514.56$567.86$569.61.1×
Aetna19$546.72$603.35$605.21.1×
Medicare69$173.46$181.08$208.241.2×
commercial | health partners | all plans25$125.56$413.33$601.434.8×
hp15$96$288$5005.2×
healthpartners [900713]44$441.28$634.2$838.771.9×
medica [900156]33$486.41$789.53$893.311.8×
commercial | preferred one | ppo13$399.9$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$378.25$124.62$663.79$1,859.86
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$890$378.25$124.62$663.79$1,859.86
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$890$378.25$124.62$663.79$1,859.86
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$890$378.25$124.62$663.79$1,859.86
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$890$378.25$124.62$663.79$1,859.86
FAIRVIEW SOUTHDALE HOSPITALEDINAMN18$890$558.03$124.62$649.17$1,859.86
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$890$558.03$124.62$621.38$1,859.85
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$890$558.03$124.62$611.04$1,859.85
FAIRVIEW NORTHLAND REGPRINCETONMN18$890$558.03$124.62$603.13$1,859.85
RANGE REGIONAL HEALTH SERVICESHIBBINGMN16$986$419.05$124.62$587.16$3,650.8
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN9$685$424.02$96.46$382.02$650.75
HUTCHINSON HEALTH CAREHUTCHINSONMN7$789$362.94$173.46$381.34$710.1
JOHNSON MEMORIAL HOSPITALDAWSONMN4$608.96$517.62$156.16$346.34$560.24
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$500$335$96$288$500
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$825$503.25$143.72$271.3$800.83
REGIONS HOSPITALST PAULMN7$722$187.72$80.83$219.2$893.31
ST. GABRIELS HOSPITALLITTLE FALLSMN13$732$366$47.1$208.23$695.4
LAKEVIEW MEMORIALSTILLWATERMN6$282$104.34$6.46$181.08$838.77
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN10$124.62$173.18$2,234

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.