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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in MO

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Hospitals
9
Min
$123.49
Median
$1,868.43
Max
$1,868.43
Range multiplier
15.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS29$1,420.01$1,868.43$1,868.431.3×
UnitedHealthcare28$1,868.43$1,868.43$1,868.431.0×
Aetna36$123.49$1,868.43$1,868.4315.1×
Cigna25$1,868.43$1,868.43$1,868.431.0×
Medicaid23$1,868.43$1,868.43$1,868.431.0×
Humana23$1,868.43$1,868.43$1,868.431.0×
healthlink hmo22$1,868.43$1,868.43$1,868.431.0×
essence22$1,868.43$1,868.43$1,868.431.0×
Blue Cross Blue Shield22$123.49$995.96$1,868.4315.1×
healthlink ppo22$1,868.43$1,868.43$1,868.431.0×
WellCare22$1,868.43$1,868.43$1,868.431.0×
Meritain Health12$1,868.43$1,868.43$1,868.431.0×
medica22$1,868.43$1,868.43$1,868.431.0×
Ambetter22$1,868.43$1,868.43$1,868.431.0×
devoted health11$1,868.43$1,868.43$1,868.431.0×
devoted healthcare11$1,868.43$1,868.43$1,868.431.0×
diversified plastics11$1,868.43$1,868.43$1,868.431.0×
dora school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
easter seals midwest11$1,868.43$1,868.43$1,868.431.0×
Empire BCBS11$1,868.43$1,868.43$1,868.431.0×
employers benefit alliance11$1,868.43$1,868.43$1,868.431.0×
evolutions11$1,868.43$1,868.43$1,868.431.0×
fabick cat11$1,868.43$1,868.43$1,868.431.0×
fair grove school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
First Health11$1,363.95$1,363.95$1,363.951.0×
Health Net11$1,868.43$1,868.43$1,868.431.0×
health systems, inc.11$1,868.43$1,868.43$1,868.431.0×
healthlink workcomp11$1,588.17$1,588.17$1,588.171.0×
healthy blue (missouri care)11$1,868.43$1,868.43$1,868.431.0×
heart of america (tri state healthcare coalition – med pay)11$1,868.43$1,868.43$1,868.431.0×
hickory county skyline school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
home state health plan, inc.11$1,868.43$1,868.43$1,868.431.0×
homestate health plan11$1,868.43$1,868.43$1,868.431.0×
j and m farms, inc. (tri-state healthcare coalition)11$1,868.43$1,868.43$1,868.431.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$1,868.43$1,868.43$1,868.431.0×
laclede county school district conway (smbc)11$1,868.43$1,868.43$1,868.431.0×
lebanon school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
marshfield school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
mercy charity contract11$1,868.43$1,868.43$1,868.431.0×
meridian healthcare of illinois mc plus11$123.49$123.49$123.491.0×
mers goodwill11$1,868.43$1,868.43$1,868.431.0×
missouri state university11$1,868.43$1,868.43$1,868.431.0×
mount vernon school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
mountain grove r-111 school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
mountain view school district (smbc)11$1,868.43$1,868.43$1,868.431.0×
Multiplan11$1,868.43$1,868.43$1,868.431.0×
ozarks community hospital11$1,868.43$1,868.43$1,868.431.0×
pathway/pathway x11$1,868.43$1,868.43$1,868.431.0×
phcs savility11$1,868.43$1,868.43$1,868.431.0×
quality collisson group11$1,868.43$1,868.43$1,868.431.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO70$1,868.43$1,868.43$1,121.06$1,868.43$1,868.43
MERCY HOSPITAL - ST. LOUISST. LOUISMO19$1,868.43$1,868.43$1,868.43$1,868.43$1,868.43
RANKEN JORDANMARYLAND HEIGHTSMO3$743$743$123.49$123.49$123.49
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$636$159
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$439$219.5
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0$527.16$168.16
COX-MONETT HOSPITALMONETTMO0$431.78$131.69
COX MEDICAL CENTER BRANSONBRANSONMO0$527.16$119.67
COXHEALTHSPRINGFIELDMO0$527.16$132.84

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.