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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$45.89
Median
$49.59
Max
$122.22
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1782$32.24$49.70$184.005.7×
UnitedHealthcare1980$28.70$57.19$286.2810.0×
medica461$28.70$134.68$151.685.3×
Aetna1647$32.24$49.59$280.848.7×
midlands choice431$39.26$142.08$151.683.9×
greater omaha packing224$78.72$142.08$151.681.9×
one world224$78.72$142.08$151.681.9×
millard public schools224$78.72$142.08$151.681.9×
Humana1620$28.70$33.85$67.942.4×
Multiplan318$80.36$141.95$154.841.9×
quiktrip318$68.40$100.20$151.682.2×
Cigna1618$66.60$66.60$287.644.3×
phcs318$80.36$123.00$154.841.9×
health partners open network1414$42.19$42.19$42.191.0×
amerigroup212$30.14$61.50$71.342.4×
timpte212$78.72$142.08$151.681.9×
Centene312$17.10$44.41$69.304.1×
amerivantage1111$32.24$33.85$33.851.0×
Molina1111$32.88$32.88$74.002.3×
bc illinois community28$85.72$106.39$118.321.4×
iamolina26$36.68$66.19$70.661.9×
amps26$63.72$118.89$150.832.4×
pace26$28.70$53.55$67.942.4×
great plains26$30.14$56.23$71.342.4×
Anthem BCBS14$66.00$188.00$289.004.4×
healthpartners14$74.00$174.00$255.003.4×
common ground13$65.00$65.00$65.001.0×
elap13$31.92$45.08$46.761.5×
total care13$35.97$64.92$69.301.9×
wisconsin physician service13$90.00$95.00$95.001.1×
health eos12$272.00$272.00$272.001.0×
Ambetter22$32.24$32.24$32.241.0×
health alliance22$32.24$32.24$32.241.0×
meridian health plan22$33.85$33.85$33.851.0×
health eos plus12$204.00$204.00$204.001.0×
everpointe elite11$75.00$75.00$75.001.0×
dean health plan11$95.68$95.68$95.681.0×
creighton university employees11$108.55$108.55$108.551.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
iowa health11$33.85$33.85$33.851.0×
medical associates health plan11$56.42$56.42$56.421.0×
Medicare11$122.22$122.22$122.221.0×
meridian11$33.85$33.85$33.851.0×
health partners11$39.26$39.26$39.261.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$340.00$170.00$65.00$93.00$289.00
Chi Health Mercy CorningCorningIA18$158.00$75.84$35.26$88.80$154.84
Chi Health - Missouri ValleyMissouri ValleyIA19$158.00$77.42$28.70$87.21$154.84
Chi Health Mercy Council BluffsCouncil BluffsIA9$167.00$70.14$17.10$86.84$141.95
The Finley HospitalDubuqueIA12$104.00$83.20$32.24$49.70$118.32
Iowa Methodist Medical CenterDes MoinesIA8$104.00$83.20$32.24$49.59$66.60
Allen Memorial HospitalWaterlooIA8$104.00$83.20$32.24$49.59$66.60
Unitypoint Health-MarshalltownMarshalltownIA8$104.00$83.20$32.24$49.59$66.60
Trinity MuscatineMuscatineIA10$104.00$83.20$32.24$49.59$118.32
Trinity Regional Medical CenterFort DodgeIA6$104.00$83.20$32.24$49.59$66.60
Iowa Lutheran HospitalDes MoinesIA8$104.00$83.20$32.24$49.59$66.60
St. Lukes Methodist HospitalCedar RapidsIA8$104.00$83.20$32.24$49.59$66.60
St. Lukes Regl Medical CenterSioux CityIA8$104.00$83.20$32.24$49.59$66.60
Grinnell Regional Medical CenterGrinnellIA8$104.00$83.20$32.24$49.59$66.60
Grundy County Mem. HospitalGrundy CenterIA8$104.00$83.20$32.24$49.59$66.60
Jones Regional Medical CtrAnamosaIA8$104.00$83.20$32.24$49.59$66.60
Community Mem. Hospt. SummerSumnerIA8$104.00$83.20$32.24$49.59$66.60
Broadlawns Medical CenterDes MoinesIA7$184.00$184.00$39.26$49.31$184.00
Trinity BettendorfBettendorfIA9$104.00$83.20$32.24$45.89$66.60
Mitchell County Regional Health CentOsageIA1$155.90$140.31$122.22$122.22$122.22
Stewart Memorial HospitalLake CityIA0$227.00$181.00
Spencer Municipal HospitalSpencerIA0$225.80$169.35
Story County HospitalNevadaIA0$190.00$152.00
Peoples Memorial HospitalIndependenceIA0$311.24$264.55
Mercy Hospital Iowa CityIowa CityIA0$156.00$74.88
Regional Health Services Of Howard CCrescoIA0$494.00
Loring HospitalSac CityIA0$178.00$142.40
Greene County Medical CenterJeffersonIA0$106.00$59.36

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.