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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$83.19
Median
$84.10
Max
$84.10
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$18.76$74.89$107.085.7×
Aetna618$66.68$67.86$86.981.3×
Cigna612$83.19$88.49$94.321.1×
sentara health plan612$18.24$49.73$81.224.5×
gateway - tier 166$124.45$124.45$124.451.0×
gateway - tier 266$104.80$104.80$104.801.0×
gateway - tier 366$72.05$72.05$72.051.0×
Humana66$18.76$18.76$18.761.0×
vhn - ultra66$81.22$81.22$81.221.0×
Anthem BCBS66$17.90$17.90$17.901.0×
connecticare66$91.70$91.70$91.701.0×
First Health66$18.76$18.76$18.761.0×
vhn - link66$117.90$117.90$117.901.0×
vhn - plus66$100.87$100.87$100.871.0×
vhn - secondary payors66$124.45$124.45$124.451.0×
vhn66$104.80$104.80$104.801.0×
national provider network11$125.76$125.76$125.761.0×
integrated health plan11$111.35$111.35$111.351.0×
corvel11$16.20$16.20$16.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$131.00$45.85$17.90$84.10$124.45
Carilion Medical CenterRoanokeVA16$131.00$45.85$17.90$84.10$124.45
Carilion New River Valley Med CenterChristiansburgVA16$131.00$45.85$17.90$84.10$124.45
Carilion Franklin Memorial HospitalRocky MountVA16$131.00$45.85$17.90$84.10$124.45
Carilion Giles Community HospitalPearisburgVA16$131.00$45.85$17.90$84.10$124.45
Carilion Tazewell Community HospitalTazewellVA19$131.00$45.85$16.20$83.19$125.76
Childrens Hospital Of The Kings DaNorfolkVA0$31.00$27.90
Lynn House Of Potomac Valley Inc.AlexandriaVA0$73.00$36.50
Bon Secours Depaul Medical CenterNorfolkVA0$180.00$117.00

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.