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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$421.21.1×
sentara health plan510$173.18$267.94$362.72.1×
gateway - tier 155$555.75$555.75$555.751.0×
gateway - tier 255$468$468$4681.0×
gateway - tier 355$321.75$321.75$321.751.0×
Humana55$178.04$178.04$178.041.0×
vhn - ultra55$362.7$362.7$362.71.0×
Anthem BCBS55$169.94$169.94$169.941.0×
connecticare55$409.5$409.5$409.51.0×
First Health55$178.04$178.04$178.041.0×
vhn - link55$526.5$526.5$526.51.0×
vhn - plus55$450.45$450.45$450.451.0×
vhn - secondary payors55$555.75$555.75$555.751.0×
vhn55$468$468$4681.0×
national provider network11$561.6$561.6$561.61.0×
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$204.75$169.94$375.57$555.75
CARILION MEDICAL CENTERROANOKEVA16$585$204.75$169.94$375.57$555.75
CARILION NEW RIVER VALLEY MED CENTERCHRISTIANSBURGVA16$585$204.75$169.94$375.57$555.75
CARILION FRANKLIN MEMORIAL HOSPITALROCKY MOUNTVA16$585$204.75$169.94$375.57$555.75
CARILION TAZEWELL COMMUNITY HOSPITALTAZEWELLVA19$585$204.75$153.76$371.48$561.6
CHILDRENS HOSPITAL OF THE KINGS DANORFOLKVA0$998$898.2
LYNN HOUSE OF POTOMAC VALLEY INC.ALEXANDRIAVA0$653$326.5
BON SECOURS DEPAUL MEDICAL CENTERNORFOLKVA0$802$521.3

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.