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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$28.34
Median
$117.61
Max
$274.13
Range multiplier
9.7×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield647$21$109.45$2,800133.3×
Aetna540$18.6$170$637.234.3×
UnitedHealthcare638$1$80$615.96616.0×
Cigna434$1$195.69$618.09618.1×
First Health317$66.5$188.1$672.610.1×
Medicaid116$1$55.87$342.94342.9×
Health Net110$24.67$304.58$686.7627.8×
Humana59$21$97.81$113.265.4×
WellCare49$11.66$38.79$115.329.9×
CareSource37$11.89$39.54$117.569.9×
alliant health plan25$42$51.8$1543.7×
alliant op rate24$104.5$112.75$1211.2×
dodge cty op rate24$50.16$54.12$58.081.2×
amerigroup community care24$60$74.74$85.611.4×
beech street op rate24$188.1$202.95$217.81.2×
secure health op rate24$104.5$112.75$1211.2×
phcs op rate24$192.28$207.46$222.641.2×
peach state hp op rate12$44.96$48.51$52.061.2×
peach state health plan op rate12$35.66$38.48$41.291.2×
evernorth behavioral health11$37.61$37.61$37.611.0×
arizona complete health11$24.67$24.67$24.671.0×
banner health11$24.67$24.67$24.671.0×
care 1st11$24.67$24.67$24.671.0×
acchs11$24.67$24.67$24.671.0×
health choice11$25.91$25.91$25.911.0×
mercy care11$25.91$25.91$25.911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
UNION GENERAL HOSPITALBLAIRSVILLEGA8$200$100$11.66$53.69$170
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$220$110$13.2$51.4$187
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$395$158$37.61$37.61$37.61
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA2$314.13$28.34$28.34$111.64
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$708$525.34$24.67$274.13$686.76
PERRY HOSPITALPERRYGA11$34.58$121$242
DODGE COUNTY HOSPITALEASTMANGA5$642.82$1$118.19$2,800
HOUSTON MEDICAL CENTERWARNER ROBINSGA12$43.65$117.61$242
SOUTHWELL MEDICALADELGA0$466$233

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.