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CPT 99211 · negotiated-rate distribution across hospitals in OH

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Hospitals
26
Min
$8.91
Median
$85.68
Max
$113.40
Range multiplier
12.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17188$26.20$63.75$142.705.4×
Anthem BCBS18150$4.76$77.40$333.5270.1×
ohio health choice18128$9.80$97.25$209.3021.4×
Aetna20116$4.86$76.94$212.6543.8×
UnitedHealthcare20102$4.86$70.79$361.3074.3×
Cigna18100$12.18$73.36$300.6024.7×
healthsmart1776$7.70$85.15$254.1533.0×
First Health1971$10.92$104.58$233.2221.4×
ohio preferred network1666$10.50$112.00$254.1524.2×
Multiplan1762$82.79$117.90$129.601.6×
beech street1558$92.00$112.40$129.601.4×
buckeye plain ministries1558$55.66$64.40$70.501.3×
private healthcare system1558$98.90$112.66$123.841.3×
christian healthcare ministries1558$57.50$65.50$72.001.3×
clarity1558$60.48$67.20$129.602.1×
configurenet1558$103.50$117.90$129.601.3×
amish church fund and workers aid plan1558$55.66$64.40$70.501.3×
fortified provider network1558$103.50$117.90$129.601.3×
amish aid community plan1558$55.66$64.40$70.501.3×
immergrun1558$57.50$65.50$78.601.4×
the health plan1858$4.76$91.65$229.0448.1×
century health network1558$97.75$111.35$122.401.3×
summacare1652$4.76$71.40$254.1553.4×
medical mutual traditional/health ohio1146$80.50$91.70$100.801.3×
aultcare1634$4.76$31.00$143.5230.2×
sunrise plain communities732$57.50$65.50$72.001.3×
Humana2030$4.81$92.74$149.5031.1×
sunrise plan communities826$63.00$65.50$70.001.1×
Molina1722$4.76$119.47$131.4127.6×
jp farley1421$42.00$42.00$129.603.1×
enterprise group planning420$64.40$73.36$91.701.4×
health ohio network420$66.70$75.98$87.771.3×
CareSource1620$4.86$215.04$215.0444.2×
Medicare218$7.61$20.25$21.262.8×
Ambetter1516$47.16$215.04$215.044.6×
perennial advantage of ohio1515$27.51$125.44$125.444.6×
paramount1515$26.99$123.05$123.054.6×
primetime health plan1515$26.20$119.47$119.474.6×
valor health plans1515$27.51$125.44$125.444.6×
WellCare1515$26.20$119.47$119.474.6×
devoted health1414$26.20$119.47$119.474.6×
medical mutual112$4.76$20.59$218.2745.9×
transplants-case rates [5750]111$15.75$20.25$37.112.4×
Medicaid29$5.54$45.00$54.089.8×
Blue Cross Blue Shield27$25.17$42.50$82.143.3×
buckeye14$4.86$14.92$103.7021.3×
ohio ppo connect24$61.01$61.01$61.011.0×
university health employee plan (contigo)44$46.00$46.00$65.501.4×
commercial-contracted [8000]13$27.61$32.40$33.751.2×
medical mutual of ohio supermed12$65.68$65.68$65.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Portage Medical CenterRavennaOH37$140.00$105.00$30.24$93.87$215.04
Uh Parma Medical CenterParmaOH37$140.00$105.00$31.00$91.00$215.04
Uh Ahuja Medical CenterBeachwoodOH37$140.00$105.00$25.75$88.20$215.04
Uh Elyria Medical CenterElyriaOH37$140.00$105.00$31.00$88.20$215.04
Rainbow Babies & Childrens HospitalClevelandOH40$131.00$98.25$42.94$87.77$125.44
Uh Geauga Medical CenterChardonOH36$140.00$105.00$26.78$85.96$215.04
Uh Regional HospitalsRichmond HeightsOH36$140.00$105.00$26.78$85.96$215.04
Uh St. John Medical CenterWestlakeOH37$140.00$105.00$31.00$85.68$215.04
University Hospitals Avon Rehab HospAvonOH40$141.00$105.75$26.78$80.50$215.04
Uh Cleveland Medical CenterClevelandOH40$141.00$105.75$26.78$80.50$215.04
University Hospitals Rehab HospitalBeachwoodOH40$141.00$105.75$26.78$80.50$215.04
St. Lukes HospitalMaumeeOH12$228.00$114.00$5.54$8.91$159.60
Uh Geneva Medical CenterGenevaOH36$131.00$98.25$26.20$73.36$131.00
Uh Conneaut Medical CenterConneautOH37$131.00$98.25$26.78$73.36$131.00
Adena Regional Medical CenterChillicotheOH14$87.15$43.58$31.20$62.49$82.79
Fayette County Memorial HospWashington Court HouseOH18$87.15$43.58$29.63$57.78$98.48
Adams County Regional Medical CenterSeamanOH9$45.00$27.00$15.75$25.61$54.08
Twin City HospitalDennisonOH16$299.00$148.31$4.76$22.23$272.09
Lake Hospital SystemConcordOH35$126.00$94.50$31.00$113.40$361.30
Uh Samaritan Medical CenterAshlandOH37$144.00$108.00$42.83$110.11$205.76
Henry County Hospital (Cah)NapoleonOH0$65.00$48.75
Summa Rehab HospitalAkronOH0$87.00
Wayne Hospital CompanyGreenvilleOH0$181.00$135.75
Harrison Community HospitalCadizOH0$169.00$84.50
Wilson Memorial HospitalSidneyOH0$354.90$177.45
Barnesville HospitalBarnesvilleOH0$260.00$130.00

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.