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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in CO

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Hospitals
6
Min
$38.50
Median
$146.86
Max
$582.91
Range multiplier
15.1×

By payer (25 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare311$28.00$40.00$515.3718.4×
Blue Cross Blue Shield210$29.00$48.00$170.405.9×
Aetna24$144.69$169.51$606.324.2×
Anthem BCBS14$144.69$359.21$602.394.2×
Humana23$144.69$146.14$149.101.0×
charge amount13$66.00$72.00$206.003.1×
WellCare12$146.14$146.14$146.141.0×
Cigna11$199.16$199.16$199.161.0×
cofinity11$159.75$159.75$159.751.0×
friday health plan11$149.10$149.10$149.101.0×
health management network11$181.05$181.05$181.051.0×
child health plan+11$138.45$138.45$138.451.0×
Molina11$147.58$147.58$147.581.0×
negotiated charge11$25.40$25.40$25.401.0×
optum ccn region 111$146.14$146.14$146.141.0×
optum ccn region 211$146.14$146.14$146.141.0×
police departments [50065]11$1,000.00$1,000.00$1,000.001.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$170.40$170.40$170.401.0×
presbyterian of nm: php salud plan11$159.75$159.75$159.751.0×
rocky mountain health plan: commercial ip11$138.45$138.45$138.451.0×
rocky mountain health plan: commercial op11$149.10$149.10$149.101.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
umr11$515.37$515.37$515.371.0×
caresoure kentucky11$447.85$447.85$447.851.0×
allsavers ip11$159.75$159.75$159.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Pioneers Medical CenterMeekerCO2$164.80$25.40$69.00$206.00
Rio Grande HospitalDel NorteCO2$444.40$88.88$165.82$582.91$1,000.00
Mt. San Rafael HospitalTrinidadCO2$101.00$71.00$28.00$38.50$91.00
Animas Surgical HospitalDurangoCO14$213.00$104.37$159.75$199.16
East Morgan County HospitalBrushCO10$689.00$413.40$144.69$146.86$606.32
Vail Valley Medical CenterVailCO0$114.00$85.50

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.