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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in MO

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Hospitals
9
Min
$8.44
Median
$187.54
Max
$187.54
Range multiplier
22.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS29$142.53$187.54$187.541.3×
UnitedHealthcare28$187.54$187.54$187.541.0×
Aetna36$8.44$187.54$187.5422.2×
Cigna25$187.54$187.54$187.541.0×
Medicaid23$187.54$187.54$187.541.0×
Humana23$187.54$187.54$187.541.0×
healthlink hmo22$187.54$187.54$187.541.0×
essence22$187.54$187.54$187.541.0×
Blue Cross Blue Shield22$8.44$97.99$187.5422.2×
healthlink ppo22$187.54$187.54$187.541.0×
WellCare22$187.54$187.54$187.541.0×
Meritain Health12$187.54$187.54$187.541.0×
medica22$187.54$187.54$187.541.0×
Ambetter22$187.54$187.54$187.541.0×
devoted health11$187.54$187.54$187.541.0×
devoted healthcare11$187.54$187.54$187.541.0×
diversified plastics11$187.54$187.54$187.541.0×
dora school district (smbc)11$187.54$187.54$187.541.0×
easter seals midwest11$187.54$187.54$187.541.0×
Empire BCBS11$187.54$187.54$187.541.0×
employers benefit alliance11$187.54$187.54$187.541.0×
evolutions11$187.54$187.54$187.541.0×
fabick cat11$187.54$187.54$187.541.0×
fair grove school district (smbc)11$187.54$187.54$187.541.0×
First Health11$136.90$136.90$136.901.0×
Health Net11$187.54$187.54$187.541.0×
health systems, inc.11$187.54$187.54$187.541.0×
healthlink workcomp11$159.41$159.41$159.411.0×
healthy blue (missouri care)11$187.54$187.54$187.541.0×
heart of america (tri state healthcare coalition – med pay)11$187.54$187.54$187.541.0×
hickory county skyline school district (smbc)11$187.54$187.54$187.541.0×
home state health plan, inc.11$187.54$187.54$187.541.0×
homestate health plan11$187.54$187.54$187.541.0×
j and m farms, inc. (tri-state healthcare coalition)11$187.54$187.54$187.541.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$187.54$187.54$187.541.0×
laclede county school district conway (smbc)11$187.54$187.54$187.541.0×
lebanon school district (smbc)11$187.54$187.54$187.541.0×
marshfield school district (smbc)11$187.54$187.54$187.541.0×
mercy charity contract11$187.54$187.54$187.541.0×
meridian healthcare of illinois mc plus11$8.44$8.44$8.441.0×
mers goodwill11$187.54$187.54$187.541.0×
missouri state university11$187.54$187.54$187.541.0×
mount vernon school district (smbc)11$187.54$187.54$187.541.0×
mountain grove r-111 school district (smbc)11$187.54$187.54$187.541.0×
mountain view school district (smbc)11$187.54$187.54$187.541.0×
Multiplan11$187.54$187.54$187.541.0×
ozarks community hospital11$187.54$187.54$187.541.0×
pathway/pathway x11$187.54$187.54$187.541.0×
phcs savility11$187.54$187.54$187.541.0×
quality collisson group11$187.54$187.54$187.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ranken JordanMaryland HeightsMO3$75.90$75.90$8.44$8.44$8.44
Mercy Hospital - St. LouisSt. LouisMO19$187.54$187.54$187.54$187.54$187.54
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$187.54$187.54$112.52$187.54$187.54
Missouri Delta Medical CenterSikestonMO0$192.00$48.00
Harrison County Community HospitalBethanyMO0$169.00$84.50
Barton County Memorial HospitalLamarMO0$193.22$61.64
Cox-Monett HospitalMonettMO0$193.22$58.93
CoxhealthSpringfieldMO0$301.94$76.09
Cox Medical Center BransonBransonMO0$193.22$43.86

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.