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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in KY

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Hospitals
14
Min
$20.59
Median
$104.90
Max
$337.94
Range multiplier
16.4×

By payer (21 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS1371$7.48$146.14$602.3980.5×
Aetna1362$7.48$132.15$640.7785.7×
Humana1335$8.10$80.92$205.8025.4×
WellCare1232$7.48$87.79$179.1423.9×
UnitedHealthcare1232$7.48$174.89$526.4070.4×
caresoure kentucky1122$12.44$290.60$447.8536.0×
umr1121$25.37$289.34$526.4020.8×
Molina1220$8.14$96.58$203.8125.0×
optum ccn region 268$7.54$110.76$146.1419.4×
optum ccn region 168$7.54$110.76$146.1419.4×
Cigna13$8.10$20.59$31.653.9×
CareSource12$8.10$17.95$27.793.4×
amerigroup12$8.10$14.35$20.592.5×
Multiplan12$35.00$35.35$35.701.0×
alliance coal12$9.72$20.30$30.883.2×
va community care network12$8.10$14.35$20.592.5×
christian county health dept-cchd11$7.48$7.48$7.481.0×
center care11$31.65$31.65$31.651.0×
First Health11$35.70$35.70$35.701.0×
beacon health11$7.48$7.48$7.481.0×
commonwealth health alliance11$37.80$37.80$37.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Whitesburg ArhWhitesburgKY8$689.00$413.40$9.79$84.12$640.77
Mcdowell ArhMcdowellKY10$689.00$413.40$9.69$83.65$606.32
Paintsville Arh HospitalPaintsvilleKY6$453.00$271.80$8.14$57.26$396.06
Tug Valley ArhSouth WilliamsonKY8$238.00$142.80$8.72$38.64$214.20
Harlan ArhHarlanKY8$689.00$413.40$72.48$337.94$640.77
Highlands Regional Medical CenterPrestonsburgKY10$689.00$413.40$7.54$33.97$477.48
Jennie Stuart Medical CenterHopkinsvilleKY16$42.00$13.02$7.48$20.59$40.01
Hazard ArhHazardKY8$689.00$413.40$12.79$154.61$620.10
Middlesboro ArhMiddlesboroKY8$689.00$413.40$10.47$154.00$640.77
Morgan Co. ArhWest LibertyKY10$689.00$413.40$144.69$146.86$606.32
Our Lady Of The WayMartinKY8$689.00$413.40$137.80$137.80$606.32
Barbourville Arh HospitalBarbourvilleKY10$689.00$413.40$80.92$118.30$606.32
Mary Breckinridge HospitalHydenKY10$689.00$413.40$103.35$104.90$606.32
Spring View HospitalLebanonKY0$419.87$167.95

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.