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Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$72.91
Median
$105.72
Max
$105.72
Range multiplier
1.4×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 12 | $14.34 | $82.80 | $248.79 | 17.4× |
| UnitedHealthcare | 2 | 11 | $30.21 | $91.34 | $333.49 | 11.0× |
| Blue Cross Blue Shield | 2 | 9 | $33.94 | $69.44 | $123.91 | 3.7× |
| Aetna | 2 | 6 | $34.96 | $103.51 | $132.31 | 3.8× |
| Cigna | 2 | 5 | $8.23 | $72.91 | $107.77 | 13.1× |
| VA Health | 2 | 3 | $33.94 | $69.44 | $102.64 | 3.0× |
| amerihealth negotiated charge | 2 | 3 | $40.98 | $61.51 | $123.91 | 3.0× |
| hscsn negotiated charge | 2 | 3 | $94.85 | $127.58 | $385.79 | 4.1× |
| Multiplan | 2 | 3 | $107.50 | $136.08 | $411.51 | 3.8× |
| pfc negotiated charge | 2 | 3 | $82.21 | $110.57 | $334.35 | 4.1× |
| TRICARE | 2 | 3 | $94.85 | $127.58 | $385.79 | 4.1× |
| medstar family choice district of columbia negotiated charge | 2 | 3 | $40.98 | $61.51 | $123.91 | 3.0× |
| medstar family choice maryland negotiated charge | 2 | 3 | $48.94 | $69.38 | $148.00 | 3.0× |
| magellan behavioral health negotiated charge** | 1 | 2 | $13.89 | $27.94 | $41.99 | 3.0× |
| choicecare negotiated charge | 1 | 2 | $153.09 | $308.02 | $462.95 | 3.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $82.21 | $82.21 | $82.21 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| National Rehabilitation Hospital | Washington | DC | 14 | — | — | $14.34 | $72.91 | $107.50 |
| Washington Hospital Center | Washington | DC | 15 | — | — | $8.23 | $105.72 | $462.95 |
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.