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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$154.17
Median
$170.73
Max
$190.21
Range multiplier
1.2×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna310$124.40$168.01$452.003.6×
Blue Cross Blue Shield28$139.34$164.63$257.011.8×
Humana28$140.30$192.11$429.303.1×
Molina26$248.47$373.09$452.661.8×
Multiplan25$138.38$173.98$231.971.7×
Kaiser Permanente24$142.77$172.19$199.531.4×
chpw [130116]13$233.85$304.34$426.031.8×
UnitedHealthcare33$154.17$184.86$190.211.2×
Medicare13$190.21$190.21$199.721.0×
allied benefit systems llc [110104]13$124.40$146.36$179.431.4×
bh mnh [130108]12$65.00$65.00$65.001.0×
Medicare Advantage12$175.09$175.09$175.091.0×
the health plan12$136.91$136.91$136.911.0×
bh managed health network [130106]12$65.00$65.00$65.001.0×
First Health11$154.17$154.17$154.171.0×
GEHA11$154.17$154.17$154.171.0×
asuris truadvantage [4011]11$175.09$175.09$175.091.0×
ameriben [8000]11$154.17$154.17$154.171.0×
mega life [8005]11$154.17$154.17$154.171.0×
mid west natl life [8006]11$154.17$154.17$154.171.0×
Ambetter11$137.04$137.04$137.041.0×
mutual of omaha [8007]11$154.17$154.17$154.171.0×
mva farmers [1026]11$164.45$164.45$164.451.0×
mva progressive [1027]11$164.45$164.45$164.451.0×
mva state farm [1028]11$164.45$164.45$164.451.0×
pacific source [8008]11$154.17$154.17$154.171.0×
pacific source administrators [8010]11$154.17$154.17$154.171.0×
the health plan hmo11$196.56$196.56$196.561.0×
umr11$184.86$184.86$184.861.0×
wellpoint [6009]11$66.81$66.81$66.811.0×
wellpoint medadvantage [210115]11$190.21$190.21$190.211.0×
bh optum health medadvantage [210117]11$190.21$190.21$190.211.0×
chp advantage [4001]11$200.79$200.79$200.791.0×
chpw med advantage [210102]11$190.21$190.21$190.211.0×
Cigna11$154.17$154.17$154.171.0×
community health network of wa [1055]11$297.17$297.17$297.171.0×
first choice [8009]11$154.17$154.17$154.171.0×
first choice generic [8999]11$154.17$154.17$154.171.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley Medical CenterRentonWA15$486.00$340.20$65.00$190.21$452.66
East Adams Rural HospitalRitzvilleWA5$421.00$252.60$136.91$170.73$205.92
Wenatchee Valley HospitalWenatcheeWA27$171.30$154.17$66.81$154.17$361.42

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.