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Office visit, established patient, 5 min
CPT 99211 · negotiated-rate distribution across hospitals in WA
Hospitals
3
Min
$11.95
Median
$162.88
Max
$180.85
Range multiplier
15.1×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 2 | 14 | $9.11 | $88.77 | $178.75 | 19.6× |
| Molina | 2 | 9 | $11.95 | $15.49 | $49.06 | 4.1× |
| UnitedHealthcare | 3 | 8 | $9.11 | $68.25 | $544.31 | 59.7× |
| Aetna | 3 | 8 | $9.2 | $70.95 | $606.32 | 65.9× |
| Multiplan | 2 | 7 | $6.63 | $19.26 | $189.12 | 28.5× |
| Humana | 2 | 7 | $6.74 | $23.55 | $172.19 | 25.5× |
| Medicare Advantage | 1 | 4 | $178.75 | $178.75 | $178.75 | 1.0× |
| umr | 1 | 4 | $45.03 | $178.15 | $544.31 | 12.1× |
| the health plan hmo | 1 | 4 | $47.88 | $189.42 | $578.76 | 12.1× |
| Kaiser Permanente | 2 | 3 | $9.11 | $89.1 | $177.3 | 19.5× |
| bh managed health network [130106] | 1 | 3 | $25 | $25 | $25 | 1.0× |
| bh mnh [130108] | 1 | 3 | $25 | $25 | $25 | 1.0× |
| Medicare | 1 | 3 | $9.11 | $9.11 | $9.57 | 1.1× |
| personify health [140193] | 1 | 3 | $6.63 | $6.63 | $19.26 | 2.9× |
| first choice [8009] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| First Health | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| GEHA | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| Cigna | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| ameriben [8000] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| Ambetter | 1 | 2 | $79.2 | $118.4 | $157.6 | 2.0× |
| community health network of wa [1055] | 1 | 2 | $14.34 | $14.34 | $14.34 | 1.0× |
| first choice generic [8999] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| wellpoint [6009] | 1 | 2 | $38.61 | $57.72 | $76.83 | 2.0× |
| mega life [8005] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| mid west natl life [8006] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| chp advantage [4001] | 1 | 2 | $204.99 | $204.99 | $204.99 | 1.0× |
| mutual of omaha [8007] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| mva farmers [1026] | 1 | 2 | $95.04 | $142.08 | $189.12 | 2.0× |
| mva progressive [1027] | 1 | 2 | $95.04 | $142.08 | $189.12 | 2.0× |
| mva state farm [1028] | 1 | 2 | $95.04 | $142.08 | $189.12 | 2.0× |
| pacific source [8008] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| pacific source administrators [8010] | 1 | 2 | $89.1 | $133.2 | $177.3 | 2.0× |
| asuris truadvantage [4011] | 1 | 2 | $178.75 | $178.75 | $178.75 | 1.0× |
| chpw med advantage [210102] | 1 | 1 | $9.11 | $9.11 | $9.11 | 1.0× |
| bh optum health medadvantage [210117] | 1 | 1 | $9.11 | $9.11 | $9.11 | 1.0× |
| chpw [130116] | 1 | 1 | $14.58 | $14.58 | $14.58 | 1.0× |
| wellpoint medadvantage [210115] | 1 | 1 | $9.11 | $9.11 | $9.11 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| EAST ADAMS RURAL HOSPITAL | RITZVILLE | WA | 4 | $689 | $413.4 | $45.03 | $180.85 | $606.32 |
| WENATCHEE VALLEY HOSPITAL | WENATCHEE | WA | 27 | $197 | $177.3 | $12.4 | $162.88 | $204.99 |
| VALLEY MEDICAL CENTER | RENTON | WA | 15 | $181 | $126.7 | $6.63 | $11.95 | $49.06 |
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.