▸ Compare · PriceTransparency
Office visit, new patient, 60-74 min
CPT 99205 · negotiated-rate distribution across hospitals in NC
Hospitals
22
Min
$62.00
Median
$212.48
Max
$500.65
Range multiplier
8.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| bcbsfl | 9 | 192 | $62.00 | $223.55 | $501.84 | 8.1× |
| Aetna | 21 | 146 | $50.00 | $333.98 | $684.41 | 13.7× |
| Blue Cross Blue Shield | 21 | 98 | $12.60 | $251.96 | $737.64 | 58.5× |
| UnitedHealthcare | 21 | 79 | $12.60 | $205.29 | $606.48 | 48.1× |
| medcost | 19 | 43 | $71.00 | $351.36 | $775.20 | 10.9× |
| Cigna | 21 | 39 | $38.70 | $215.56 | $624.30 | 16.1× |
| Humana | 20 | 35 | $72.00 | $209.40 | $1,003.20 | 13.9× |
| WellCare | 20 | 23 | $12.60 | $123.85 | $205.29 | 16.3× |
| amerihealth | 10 | 14 | $12.60 | $101.50 | $787.80 | 62.5× |
| Multiplan | 10 | 14 | $75.00 | $454.13 | $934.80 | 12.5× |
| phcs | 9 | 12 | $75.00 | $271.88 | $598.50 | 8.0× |
| CareSource | 9 | 12 | $33.00 | $119.83 | $266.00 | 8.1× |
| nc department of public safety | 9 | 12 | $12.35 | $66.09 | $121.41 | 9.8× |
| carolina complete | 9 | 12 | $12.35 | $66.09 | $121.41 | 9.8× |
| three rivers provider network | 9 | 12 | $97.00 | $341.93 | $676.09 | 7.0× |
| employers choice network | 9 | 12 | $97.00 | $341.93 | $676.09 | 7.0× |
| atlantic corporation dba atlantic packaging | 9 | 12 | $46.00 | $167.40 | $362.73 | 7.9× |
| plotkin health | 9 | 12 | $60.00 | $211.50 | $418.20 | 7.0× |
| amps | 9 | 12 | $55.00 | $198.88 | $417.30 | 7.6× |
| primary physician care | 8 | 11 | $74.00 | $88.00 | $564.96 | 7.6× |
| amerihealth caritas | 10 | 10 | $167.28 | $167.28 | $175.00 | 1.0× |
| carolina complete health | 10 | 10 | $167.28 | $167.28 | $171.57 | 1.0× |
| vaya | 9 | 9 | $167.28 | $167.28 | $167.28 | 1.0× |
| healthy blue | 9 | 9 | $167.28 | $167.28 | $167.28 | 1.0× |
| partners | 9 | 9 | $165.62 | $167.28 | $167.28 | 1.0× |
| trillium | 9 | 9 | $165.62 | $165.62 | $167.28 | 1.0× |
| choicecare | 9 | 9 | $266.24 | $266.24 | $266.24 | 1.0× |
| alliance | 9 | 9 | $168.93 | $168.93 | $168.93 | 1.0× |
| ortho carolina | 4 | 8 | $210.19 | $233.41 | $256.62 | 1.2× |
| Ambetter | 4 | 4 | $199.50 | $284.42 | $284.42 | 1.4× |
| First Health | 2 | 3 | $485.40 | $1,083.00 | $1,083.00 | 2.2× |
| devoted health | 2 | 3 | $142.82 | $213.50 | $236.51 | 1.7× |
| Molina | 1 | 3 | $142.82 | $236.51 | $320.23 | 2.2× |
| carolina caring | 1 | 3 | $340.05 | $563.11 | $902.88 | 2.7× |
| beechstreet | 2 | 2 | $90.00 | $333.90 | $577.80 | 6.4× |
| healthteam | 1 | 2 | $142.82 | $189.67 | $236.51 | 1.7× |
| corporate benefits service | 1 | 2 | $365.89 | $485.90 | $605.90 | 1.7× |
| longevity health | 1 | 2 | $142.82 | $189.67 | $236.51 | 1.7× |
| orthocarolina | 1 | 2 | $210.19 | $233.41 | $256.62 | 1.2× |
| beech street | 1 | 2 | $934.80 | $934.80 | $934.80 | 1.0× |
| Self-Pay (Cash) | 1 | 2 | $855.00 | $855.00 | $855.00 | 1.0× |
| surgery plus | 1 | 2 | $238.04 | $316.11 | $394.18 | 1.7× |
| gaston county jail | 1 | 1 | $343.14 | $343.14 | $343.14 | 1.0× |
| wellpoint | 1 | 1 | $116.90 | $116.90 | $116.90 | 1.0× |
| partners behavioral health | 1 | 1 | $171.57 | $171.57 | $171.57 | 1.0× |
| transformhealth | 1 | 1 | $532.00 | $532.00 | $532.00 | 1.0× |
| carolina complete health tailored plans | 1 | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| troy | 1 | 1 | $205.29 | $205.29 | $205.29 | 1.0× |
| alliance behavioral health | 1 | 1 | $175.00 | $175.00 | $175.00 | 1.0× |
| va communicare care | 1 | 1 | $205.29 | $205.29 | $205.29 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Thomasville Medical Center | Thomasville | NC | 20 | — | — | $18.17 | $69.35 | $97.00 |
| Medical Park Hospital | Winston-Salem | NC | 21 | — | — | $23.71 | $68.70 | $97.00 |
| Novant Health Ballantyne Medical Ctr | Charlotte | NC | 20 | — | — | $20.39 | $62.00 | $97.00 |
| Presbyterian Hospital Matthews | Matthews | NC | 20 | — | — | $13.01 | $62.00 | $97.00 |
| Presbyterian Hospital Huntersville | Huntersville | NC | 20 | — | — | $12.35 | $62.00 | $97.00 |
| Novant Health Mint Hill Medical Ctr | Charlotte | NC | 20 | — | — | $32.40 | $62.00 | $97.00 |
| New Hanover Regional Medical Center | Wilmington | NC | 8 | $809.00 | $151.84 | $116.90 | $500.65 | $787.80 |
| Forsyth Memorial Hospital Inc | Winston Salem | NC | 21 | $642.00 | $385.20 | $119.21 | $441.05 | $622.74 |
| Presbyterian Hospital | Charlotte | NC | 20 | $697.00 | $348.50 | $105.39 | $427.80 | $676.09 |
| Brunswick Community Hospital | Bolivia | NC | 21 | $665.00 | $332.50 | $93.63 | $413.63 | $645.05 |
| Gaston Memorial Hospital | Gastonia | NC | 26 | $1,140.00 | $1,140.00 | $136.02 | $241.01 | $1,083.00 |
| Atrium Health Lincoln | Lincolnton | NC | 17 | — | — | $165.62 | $214.02 | $567.60 |
| Atrium Health Anson | Wadesboro | NC | 16 | — | — | $165.62 | $214.02 | $567.60 |
| Atrium Health Stanly | Albemarle | NC | 16 | — | — | $165.62 | $214.02 | $567.60 |
| Carolinas Medical Center | Charlotte | NC | 16 | — | — | $165.62 | $212.48 | $567.60 |
| Atrium Health Cleveland | Shelby | NC | 15 | — | — | $165.62 | $212.48 | $567.60 |
| Atrium Health Kings Mountain | Kings Mountain | NC | 15 | — | — | $165.62 | $212.48 | $567.60 |
| Atrium Health Pineville | Charlotte | NC | 16 | — | — | $165.62 | $212.48 | $567.60 |
| Atrium Health Cabarrus | Concord | NC | 16 | — | — | $165.62 | $212.48 | $567.60 |
| Atrium Health Union | Monroe | NC | 16 | — | — | $165.62 | $212.48 | $567.60 |
| Columbus Regional Healthcare System | Whiteville | NC | 11 | — | — | $205.29 | $207.35 | $215.56 |
| Harris Regional Hospital | Sylva | NC | 0 | $528.42 | $211.37 | — | — | — |
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.