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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in VA

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Hospitals
8
Min
$371.48
Median
$375.57
Max
$375.57
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare525$178.04$334.44$478.182.7×
Aetna515$297.77$303.03$388.441.3×
Cigna510$371.48$395.17$421.201.1×
sentara health plan510$173.18$267.94$362.702.1×
gateway - tier 155$555.75$555.75$555.751.0×
gateway - tier 255$468.00$468.00$468.001.0×
gateway - tier 355$321.75$321.75$321.751.0×
Humana55$178.04$178.04$178.041.0×
vhn - ultra55$362.70$362.70$362.701.0×
Anthem BCBS55$169.94$169.94$169.941.0×
connecticare55$409.50$409.50$409.501.0×
First Health55$178.04$178.04$178.041.0×
vhn - link55$526.50$526.50$526.501.0×
vhn - plus55$450.45$450.45$450.451.0×
vhn - secondary payors55$555.75$555.75$555.751.0×
vhn55$468.00$468.00$468.001.0×
national provider network11$561.60$561.60$561.601.0×
integrated health plan11$497.25$497.25$497.251.0×
corvel11$153.76$153.76$153.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$585.00$204.75$169.94$375.57$555.75
Carilion Medical CenterRoanokeVA16$585.00$204.75$169.94$375.57$555.75
Carilion New River Valley Med CenterChristiansburgVA16$585.00$204.75$169.94$375.57$555.75
Carilion Franklin Memorial HospitalRocky MountVA16$585.00$204.75$169.94$375.57$555.75
Carilion Tazewell Community HospitalTazewellVA19$585.00$204.75$153.76$371.48$561.60
Childrens Hospital Of The Kings DaNorfolkVA0$998.00$898.20
Lynn House Of Potomac Valley Inc.AlexandriaVA0$653.00$326.50
Bon Secours Depaul Medical CenterNorfolkVA0$802.00$521.30

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.