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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in KY

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Hospitals
10
Min
$30.41
Median
$36.59
Max
$434.76
Range multiplier
14.3×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna963$8.33$30.41$600.7872.1×
Anthem BCBS949$8.33$64.70$564.8067.8×
WellCare942$8.33$25.15$167.9620.2×
UnitedHealthcare933$10.57$36.46$481.9245.6×
Humana925$8.33$23.30$125.4415.1×
caresoure kentucky724$30.41$47.45$387.6012.7×
umr817$32.93$57.72$481.9214.6×
Molina814$8.50$19.70$125.4414.8×
optum ccn region 2713$8.33$30.41$36.724.4×
optum ccn region 1611$8.33$30.41$36.724.4×
the health plan14$26.51$28.46$30.411.1×
Cigna13$32.63$51.07$78.372.4×
alliance coal12$39.16$57.88$76.602.0×
CareSource12$32.63$50.79$68.942.1×
Multiplan12$86.82$87.61$88.401.0×
va community care network12$32.63$41.85$51.071.6×
amerigroup12$32.63$41.85$51.071.6×
christian county health dept-cchd11$20.41$20.41$20.411.0×
center care11$78.37$78.37$78.371.0×
beacon health11$20.41$20.41$20.411.0×
First Health11$88.40$88.40$88.401.0×
commonwealth health alliance11$93.60$93.60$93.601.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jennie Stuart Medical CenterHopkinsvilleKY16$104.00$32.24$20.41$51.07$99.06
Hazard ArhHazardKY10$559.00$335.40$16.61$50.18$503.10
Harlan ArhHarlanKY8$646.00$387.60$103.36$434.76$600.78
Middlesboro ArhMiddlesboroKY10$276.00$165.60$13.59$37.41$256.68
Mcdowell ArhMcdowellKY10$216.00$129.60$8.33$36.59$190.08
Highlands Regional Medical CenterPrestonsburgKY10$123.00$73.80$21.46$30.41$51.28
Tug Valley ArhSouth WilliamsonKY10$423.00$253.80$11.32$30.41$380.70
Paintsville Arh HospitalPaintsvilleKY9$646.00$387.60$10.57$30.41$564.80
Whitesburg ArhWhitesburgKY10$123.00$73.80$12.73$30.41$72.54
Spring View HospitalLebanonKY0$424.44$169.78

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.