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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in NE

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Hospitals
4
Min
$51.41
Median
$86.5
Max
$86.84
Range multiplier
1.7×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medica310$29.38$64.27$108.413.7×
UnitedHealthcare38$19.38$58.67$123.586.4×
midlands choice27$85.5$98$125.251.5×
Multiplan16$96.9$136.85$141.951.5×
quiktrip16$68.4$96.6$100.21.5×
phcs16$80.94$116.44$125.251.5×
Aetna24$29.38$59.02$993.4×
Blue Cross Blue Shield34$66.18$91$1101.7×
Cigna24$47.23$48.62$581.2×
WellCare24$30.85$54$58.361.9×
nebraska total care23$50$58$611.2×
Centene13$19.38$27.37$28.391.5×
elap13$37.62$53.13$55.111.5×
medica cost12$30.85$44.61$58.361.9×
naphcare12$44.07$63.73$83.381.9×
Ambetter12$70.28$76.83$83.381.2×
Humana12$29.38$42.48$55.581.9×
winhealth11$47.01$47.01$47.011.0×
creighton university employees11$108.55$108.55$108.551.0×
rci insurance group11$47.23$47.23$47.231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CHI HEALTH-CREIGHTON UNIV MED CENTEROMAHANE9$167$70.14$19.38$86.84$141.95
REGIONAL WEST GARDEN COUNTY HOSPITALOSHKOSHNE6$103$70$61$86.5$99
GENOA COMMUNITY HOSPITALGENOANE4$99$89$50$58$110
REGIONAL WEST MEDICAL CENTERSCOTTSBLUFFNE12$75.68$45.41$29.38$51.41$83.38

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.