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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$10.29
Median
$100.43
Max
$277.2
Range multiplier
26.9×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield6194$17.02$133.75$2,800164.5×
First Health3129$19$149.15$3,188167.8×
UnitedHealthcare690$1$138.3$530530.0×
Cigna668$1$218.55$476.54476.5×
Humana560$6.23$98.52$795.6127.7×
WellCare460$4.25$43.5$355.0283.5×
secure health op rate256$27$116.5$85031.5×
beech street op rate256$48.6$209.7$1,53031.5×
alliant op rate256$27$116.5$85031.5×
dodge cty op rate256$12.96$55.92$40831.5×
phcs op rate256$49.68$214.36$1,56431.5×
Aetna551$7.09$182.76$405.957.2×
CareSource545$4.34$45.79$372.4285.8×
peach state health plan op rate128$9.21$39.75$290.0231.5×
peach state hp op rate128$11.62$50.13$365.7331.5×
amerigroup op rate224$8.23$37.01$112.6613.7×
Health Net118$6.23$298.76$437.4770.2×
Medicaid112$1$61.22$282.48282.5×
TRICARE24$110$125$1501.4×
alliant health plan24$18.9$73.5$774.1×
amerigroup community care23$3.76$13.94$55.9814.9×
evernorth behavioral health11$20.73$20.73$20.731.0×
arizona complete health11$6.23$6.23$6.231.0×
banner health11$6.23$6.23$6.231.0×
care 1st11$6.23$6.23$6.231.0×
acchs11$6.23$6.23$6.231.0×
health choice11$6.55$6.55$6.551.0×
mercy care11$6.55$6.55$6.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$110$55$24.2$56.82$93.5
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$451$334.65$6.23$277.2$437.47
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$432$172.8$20.73$20.73$20.73
UNION GENERAL HOSPITALBLAIRSVILLEGA8$100$50$3.76$19.1$85
HOUSTON MEDICAL CENTERWARNER ROBINSGA15$11.28$106$3,188
PERRY HOSPITALPERRYGA15$8.23$105.44$3,188
DODGE COUNTY HOSPITALEASTMANGA5$529.49$1$100.43$2,800
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA3$216.25$7.09$10.29$45.82
SOUTHWELL MEDICALADELGA0$437$218.5

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.