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Office visit, established patient, 10-19 min
CPT 99212 · negotiated-rate distribution across hospitals in HI
Hospitals
7
Min
$24.13
Median
$48.92
Max
$80.00
Range multiplier
3.3×
By payer (10 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| hmsa | 2 | 6 | $24.13 | $46.11 | $67.04 | 2.8× |
| UnitedHealthcare | 4 | 5 | $24.13 | $24.13 | $34.93 | 1.4× |
| alohacare | 2 | 3 | $34.93 | $34.93 | $36.58 | 1.0× |
| Multiplan | 1 | 2 | $80.00 | $82.50 | $85.00 | 1.1× |
| ohana | 1 | 2 | $34.93 | $36.68 | $38.42 | 1.1× |
| Kaiser Permanente | 2 | 2 | $34.93 | $57.47 | $80.00 | 2.3× |
| medical cost containment professionals | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| Humana | 1 | 1 | $34.93 | $34.93 | $34.93 | 1.0× |
| # | 1 | 1 | $50.94 | $50.94 | $50.94 | 1.0× |
| ohana health plan | 1 | 1 | $37.64 | $37.64 | $37.64 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Wilcox Memorial Hosptial | Lihue | HI | 6 | $350.00 | $140.00 | $24.13 | $80.00 | $85.00 |
| Kahuku Medical Center | Kahuku | HI | 3 | $67.00 | $43.55 | $24.13 | $48.92 | $67.04 |
| Kona Community Hospital | Kealakekua | HI | 6 | $220.00 | $143.00 | $24.13 | $34.93 | $38.42 |
| Kauai Veterans Memorial Hospital | Waimea Kauai | HI | 1 | $322.00 | $209.30 | $24.13 | $24.13 | $24.13 |
| North Hawaii Community Hospital | Kamuelaa | HI | 0 | $286.00 | $200.20 | — | — | — |
| The Queens Medical Center | Honolulu | HI | 0 | $572.00 | $400.40 | — | — | — |
| Molokai General Hospital | Kaunakakai | HI | 0 | $377.00 | $263.90 | — | — | — |
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.