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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in NE

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Hospitals
4
Min
$236.39
Median
$406
Max
$465.6
Range multiplier
2.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica38$150.43$328.82$422.062.8×
Aetna24$150.43$270.14$4643.1×
UnitedHealthcare34$131.92$312.26$574.244.4×
midlands choice23$459$582$5821.3×
Blue Cross Blue Shield33$338.9$411$5291.6×
Cigna23$281$311.25$311.251.1×
WellCare23$157.95$232.08$2811.8×
Humana12$150.43$185.73$221.031.5×
medica cost12$157.95$195.02$232.081.5×
nebraska total care22$281$284$2871.0×
phcs12$550.96$566.48$5821.1×
quiktrip12$465.6$465.6$465.61.0×
Ambetter12$331.54$345.71$359.871.1×
Multiplan12$659.6$659.6$659.61.0×
naphcare12$225.65$278.6$331.541.5×
Centene11$131.92$131.92$131.921.0×
elap11$256.08$256.08$256.081.0×
winhealth11$240.69$240.69$240.691.0×
rci insurance group11$311.25$311.25$311.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH-CREIGHTON UNIV MED CENTEROMAHANE8$776$325.92$131.92$465.6$659.6
REGIONAL WEST GARDEN COUNTY HOSPITALOSHKOSHNE6$483$328$287$406$464
GENOA COMMUNITY HOSPITALGENOANE4$477$429$281$281$529
REGIONAL WEST MEDICAL CENTERSCOTTSBLUFFNE12$386.17$231.71$150.43$236.39$359.87

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.