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Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$49.45
Median
$72.91
Max
$72.91
Range multiplier
1.5×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $14.34 | $72.46 | $96.19 | 6.7× |
| UnitedHealthcare | 2 | 7 | $34.75 | $71.53 | $177.89 | 5.1× |
| Blue Cross Blue Shield | 2 | 6 | $39.05 | $65.48 | $86.5 | 2.2× |
| Aetna | 2 | 4 | $40.22 | $83.9 | $100.58 | 2.5× |
| Cigna | 2 | 4 | $17.36 | $56.96 | $103.91 | 6.0× |
| VA Health | 2 | 2 | $39.05 | $54.24 | $69.44 | 1.8× |
| amerihealth negotiated charge | 2 | 2 | $47.14 | $54.32 | $61.51 | 1.3× |
| hscsn negotiated charge | 2 | 2 | $94.85 | $120.81 | $146.76 | 1.5× |
| Multiplan | 2 | 2 | $107.5 | $132.02 | $156.54 | 1.5× |
| pfc negotiated charge | 2 | 2 | $82.21 | $104.7 | $127.19 | 1.5× |
| TRICARE | 2 | 2 | $94.85 | $120.81 | $146.76 | 1.5× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $47.14 | $54.32 | $61.51 | 1.3× |
| medstar family choice maryland negotiated charge | 2 | 2 | $56.3 | $62.84 | $69.38 | 1.2× |
| magellan behavioral health negotiated charge** | 1 | 1 | $15.97 | $15.97 | $15.97 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $176.11 | $176.11 | $176.11 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $82.21 | $82.21 | $82.21 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NATIONAL REHABILITATION HOSPITAL | WASHINGTON | DC | 14 | — | — | $14.34 | $72.91 | $107.5 |
| WASHINGTON HOSPITAL CENTER | WASHINGTON | DC | 15 | — | — | $15.97 | $49.45 | $177.89 |
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.