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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$80.00
Median
$177.55
Max
$234.20
Range multiplier
2.9×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare426$68.00$177.70$234.203.4×
Medicaid225$12.00$150.03$223.3118.6×
Medicare223$136.20$167.59$226.241.7×
Blue Cross Blue Shield316$124.60$207.68$302.732.4×
Cigna312$90.00$165.28$379.424.2×
Aetna39$85.00$148.02$234.202.8×
excellus 220118$148.02$188.12$237.351.6×
independent health 515617$148.50$188.18$229.821.5×
Humana46$54.00$141.37$234.204.3×
fidelis 515512$235.09$261.11$287.121.2×
healthcare highways12$44.00$54.50$65.001.5×
capital district physicians health plan (cdphp) 514912$443.72$491.29$538.851.2×
Molina22$187.54$210.87$234.201.2×
First Health12$85.00$87.50$90.001.1×
preferred community choice11$92.00$92.00$92.001.0×
Self-Pay (Cash)11$35.10$35.10$35.101.0×
total senior care 131911$155.18$155.18$155.181.0×
transplant optum tenncare [350013]11$80.85$80.85$80.851.0×
upmc health plan 513811$155.18$155.18$155.181.0×
va hospital [600005]11$165.48$165.48$165.481.0×
WellCare11$234.20$234.20$234.201.0×
american health advantage mcr adv [450117]11$165.48$165.48$165.481.0×
carecentrix [450200]11$165.48$165.48$165.481.0×
devoted health [450111]11$165.48$165.48$165.481.0×
Empire BCBS11$155.18$155.18$155.181.0×
friday health plan11$50.00$50.00$50.001.0×
generic hospice vbid [10940000101]11$165.48$165.48$165.481.0×
healthsmart11$94.00$94.00$94.001.0×
medica11$42.00$42.00$42.001.0×
Medicare Advantage11$165.48$165.48$165.481.0×
meridian11$271.67$271.67$271.671.0×
mvp 290011$366.22$366.22$366.221.0×
oklahoma health network (ohn)11$80.00$80.00$80.001.0×
osma health11$90.00$90.00$90.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jefferson County HospitalFayetteMS13$35.10$80.00$94.00
Mississippi Methodist Rehab CenterJacksonMS7$127.56$234.20$271.67
Montfort Jones Memorial HospitalKosciuskoMS15$536.00$319.62$86.68$177.55$538.85
Methodist H/C Olive Branch HospitalOlive BranchMS14$409.00$89.98$12.00$165.48$196.73
Laird HospitalUnionMS0$484.53$295.56
Scott Regional HospitalMortonMS0$484.53$305.25
Delta Health-Northwest RegionalClarksdaleMS0$299.00$149.50
John C. Stennis Memorial HospitalDekalbMS0$484.53$334.33
Delta Health-The Medical CenterGreenvilleMS0$299.00$149.50
Marion General HospitalColumbiaMS0$311.00$186.60
H.c. Watkins Memorial HospitalQuitmanMS0$484.53$324.64

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.