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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$12.30
Median
$12.30
Max
$86.66
Range multiplier
7.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1782$8.04$12.30$142.0017.7×
UnitedHealthcare1980$8.44$20.76$223.1326.4×
medica460$13.98$68.25$97.927.0×
Aetna1649$8.04$18.10$218.8927.2×
midlands choice429$13.98$72.00$97.927.0×
greater omaha packing224$62.40$72.00$97.921.6×
millard public schools224$62.40$72.00$97.921.6×
one world224$62.40$72.00$97.921.6×
Humana1620$8.04$8.44$43.865.5×
Cigna1620$16.69$16.69$224.1913.4×
quiktrip316$48.60$67.20$97.922.0×
Multiplan316$63.70$72.03$99.961.6×
phcs316$57.51$68.60$99.961.7×
health partners open network1414$15.53$15.53$15.531.0×
timpte212$62.40$72.00$97.921.6×
amerigroup212$23.89$32.90$46.061.9×
Centene311$12.15$28.51$44.743.7×
Molina1111$8.20$8.20$74.009.0×
amerivantage1111$8.04$8.44$8.441.0×
bc illinois community210$8.94$22.85$28.813.2×
iamolina26$29.07$33.54$45.621.6×
amps26$50.51$66.83$97.371.9×
Anthem BCBS16$66.00$86.00$225.253.4×
pace26$22.75$30.10$43.861.9×
great plains26$23.89$31.61$46.061.9×
healthpartners16$74.00$84.00$198.752.7×
health eos plus14$60.00$109.50$159.002.6×
health eos14$80.00$146.00$212.002.6×
common ground13$65.00$65.00$65.001.0×
total care13$28.51$32.90$44.741.6×
wisconsin physician service13$90.00$95.00$95.001.1×
Medicare12$68.60$86.66$104.721.5×
meridian health plan22$8.44$8.44$8.441.0×
health alliance22$8.04$8.04$8.041.0×
elap12$22.68$22.96$23.241.0×
payer negotiated charge: iowa total care12$51.36$83.46$115.552.2×
dean health plan12$43.24$45.08$46.921.1×
Ambetter22$8.04$8.04$8.041.0×
everpointe elite11$75.00$75.00$75.001.0×
medical associates health plan11$14.07$14.07$14.071.0×
trilogy11$116.00$116.00$116.001.0×
iowa health11$8.44$8.44$8.441.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
meridian11$8.44$8.44$8.441.0×
centivo11$76.00$76.00$76.001.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
health partners11$13.98$13.98$13.981.0×
aurora caregiver11$80.00$80.00$80.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mitchell County Regional Health CentOsageIA2$227.65$204.89$51.36$86.66$115.55
Washington County HospitalWashingtonIA18$265.00$132.50$60.00$84.60$225.25
Chi Health Mercy CorningCorningIA18$102.00$48.96$27.95$63.70$99.96
Chi Health - Missouri ValleyMissouri ValleyIA19$102.00$49.98$22.75$63.70$99.96
Chi Health Mercy Council BluffsCouncil BluffsIA8$83.00$34.86$12.15$49.80$70.55
Broadlawns Medical CenterDes MoinesIA7$142.00$142.00$13.98$26.94$142.00
The Finley HospitalDubuqueIA12$51.00$40.80$8.04$14.80$46.92
Allen Memorial HospitalWaterlooIA8$51.00$40.80$8.04$12.30$20.76
St. Lukes Regl Medical CenterSioux CityIA8$51.00$40.80$8.04$12.30$20.76
Grinnell Regional Medical CenterGrinnellIA8$51.00$40.80$8.04$12.30$20.76
Grundy County Mem. HospitalGrundy CenterIA8$51.00$40.80$8.04$12.30$20.76
Jones Regional Medical CtrAnamosaIA8$51.00$40.80$8.04$12.30$20.76
Community Mem. Hospt. SummerSumnerIA8$51.00$40.80$8.04$12.30$20.76
Unitypoint Health-MarshalltownMarshalltownIA8$51.00$40.80$8.04$12.30$20.76
Trinity MuscatineMuscatineIA10$51.00$40.80$8.04$12.30$28.81
Trinity Regional Medical CenterFort DodgeIA6$51.00$40.80$8.04$12.30$20.76
Iowa Lutheran HospitalDes MoinesIA8$51.00$40.80$8.04$12.30$20.76
St. Lukes Methodist HospitalCedar RapidsIA8$51.00$40.80$8.04$12.30$20.76
Iowa Methodist Medical CenterDes MoinesIA8$51.00$40.80$8.04$12.30$20.76
Trinity BettendorfBettendorfIA9$51.00$40.80$8.04$12.30$20.76
Spencer Municipal HospitalSpencerIA0$416.32$312.24
Greene County Medical CenterJeffersonIA0$282.00$157.92
Regional Health Services Of Howard CCrescoIA0$418.00
Story County HospitalNevadaIA0$105.00$84.00
Peoples Memorial HospitalIndependenceIA0$239.75$203.78
Mercy Hospital Iowa CityIowa CityIA0$50.00$24.00
Stewart Memorial HospitalLake CityIA0$180.00$144.00
Loring HospitalSac CityIA0$246.00$196.80

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.