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Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in FL
Hospitals
2
Min
$20.73
Median
$194.50
Max
$194.50
Range multiplier
9.4×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 4 | $116.70 | $191.41 | $313.85 | 2.7× |
| Humana | 1 | 4 | $87.53 | $167.87 | $313.85 | 3.6× |
| bc health options op rate | 1 | 2 | $159.49 | $208.42 | $257.36 | 1.6× |
| bc network blue op rate | 1 | 2 | $155.60 | $203.34 | $251.08 | 1.6× |
| bc ppo op rate | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| bc traditional op rate | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| beechstreet commercial op rate | 1 | 2 | $136.15 | $177.92 | $219.70 | 1.6× |
| Cigna | 1 | 2 | $128.37 | $167.76 | $207.14 | 1.6× |
| clear health alliance op rate | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| employers health network op rate | 1 | 2 | $116.70 | $152.51 | $188.31 | 1.6× |
| First Health | 1 | 2 | $136.15 | $177.92 | $219.70 | 1.6× |
| UnitedHealthcare | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| bc blue select op rate | 1 | 2 | $136.15 | $177.92 | $219.70 | 1.6× |
| unicare op rate | 1 | 2 | $155.60 | $203.34 | $251.08 | 1.6× |
| Aetna | 1 | 2 | $126.43 | $165.21 | $204.00 | 1.6× |
| hygeia op rate | 1 | 2 | $171.16 | $223.67 | $276.19 | 1.6× |
| Multiplan | 1 | 2 | $161.44 | $210.97 | $260.50 | 1.6× |
| phcs op rate | 1 | 2 | $161.44 | $210.97 | $260.50 | 1.6× |
| prestige health choice op rate | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| southcare op rate | 1 | 2 | $178.94 | $233.84 | $288.74 | 1.6× |
| sunshine state health plan op rate | 1 | 2 | $194.50 | $254.18 | $313.85 | 1.6× |
| hcra op rate | 1 | 1 | $41.06 | $41.06 | $41.06 | 1.0× |
| evernorth behavioral health | 1 | 1 | $20.73 | $20.73 | $20.73 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Emerald Coast Behavioral Hospital | Panama City | FL | 1 | — | — | $20.73 | $20.73 | $20.73 |
| The Villages Tri-County Medical Cent | The Villages | FL | 22 | — | $188.31 | $41.06 | $194.50 | $313.85 |
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.