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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in OH

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Hospitals
26
Min
$25.84
Median
$102.20
Max
$183.60
Range multiplier
7.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17154$20.00$91.49$214.0610.7×
Anthem BCBS18124$9.18$90.88$333.5236.3×
Aetna20112$9.37$85.68$222.1223.7×
ohio health choice1894$18.90$126.90$229.5012.1×
UnitedHealthcare2087$9.37$74.61$361.3038.6×
Cigna1886$20.00$85.68$300.6015.0×
healthsmart1756$14.85$94.90$194.4013.1×
First Health1954$21.06$121.18$216.7510.3×
the health plan1850$9.18$97.91$190.0820.7×
ohio preferred network1648$20.25$124.65$229.5011.3×
Multiplan1746$90.00$131.40$229.502.5×
summacare1645$9.18$74.46$196.5621.4×
immergrun1542$50.00$73.00$153.003.1×
amish aid community plan1542$46.00$67.16$127.502.8×
amish church fund and workers aid plan1542$46.00$67.16$127.502.8×
beech street1542$80.00$131.40$229.502.9×
buckeye plain ministries1542$46.00$67.16$127.502.8×
private healthcare system1542$86.00$125.56$219.302.6×
century health network1542$85.00$124.10$216.752.5×
christian healthcare ministries1542$50.00$73.00$127.502.5×
clarity1542$48.00$70.08$194.404.0×
configurenet1542$90.00$131.40$229.502.5×
fortified provider network1542$90.00$131.40$229.502.5×
medical mutual traditional/health ohio1132$70.00$107.10$178.502.5×
Humana2031$9.28$98.75$122.8013.2×
aultcare1628$9.18$31.00$194.4021.2×
Molina1825$9.18$119.47$202.6222.1×
CareSource1623$9.37$205.76$215.0422.9×
sunrise plain communities722$73.00$76.50$127.501.7×
sunrise plan communities820$50.00$73.00$73.001.5×
Ambetter1520$36.00$215.04$215.046.0×
Medicare218$27.90$27.90$31.451.1×
jp farley1418$42.00$42.00$194.404.6×
primetime health plan1517$20.00$119.47$119.476.0×
WellCare1517$20.00$119.47$119.476.0×
valor health plans1517$21.00$125.44$125.446.0×
paramount1517$20.60$123.05$123.056.0×
perennial advantage of ohio1517$21.00$125.44$125.446.0×
health ohio network416$88.74$125.21$170.851.9×
enterprise group planning416$85.68$124.95$178.502.1×
devoted health1415$20.00$119.47$119.476.0×
transplants-case rates [5750]111$21.70$27.90$51.132.4×
Medicaid29$22.37$54.08$62.002.8×
medical mutual19$9.18$25.84$55.486.0×
Blue Cross Blue Shield27$54.61$85.38$147.582.7×
ohio ppo connect24$72.77$72.77$72.771.0×
commercial-contracted [8000]13$38.04$44.64$46.501.2×
buckeye13$9.37$13.18$26.362.8×
mclaren commercial ins13$25.00$45.43$75.343.0×
integrated health plan12$98.75$98.75$98.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Regional HospitalsRichmond HeightsOH36$146.00$109.50$26.78$99.28$215.04
Uh Geauga Medical CenterChardonOH36$146.00$109.50$26.78$99.28$215.04
Adena Regional Medical CenterChillicotheOH21$103.95$51.98$37.21$88.36$337.70
Uh Conneaut Medical CenterConneautOH37$141.00$105.75$26.78$71.21$141.00
Uh Geneva Medical CenterGenevaOH36$141.00$105.75$20.00$70.50$141.00
Fayette County Memorial HospWashington Court HouseOH18$103.95$51.98$35.34$68.92$117.46
St. Lukes HospitalMaumeeOH12$272.00$136.00$21.87$35.45$222.12
Adams County Regional Medical CenterSeamanOH9$62.00$37.20$21.70$35.28$85.38
Twin City HospitalDennisonOH16$76.00$37.70$9.18$25.84$69.16
Uh Samaritan Medical CenterAshlandOH37$216.00$162.00$76.46$183.60$214.06
Rainbow Babies & Childrens HospitalClevelandOH40$255.00$191.25$42.94$127.50$229.50
Uh Cleveland Medical CenterClevelandOH39$255.00$191.25$26.78$127.50$229.50
University Hospitals Rehab HospitalBeachwoodOH39$255.00$191.25$26.78$127.50$229.50
University Hospitals Avon Rehab HospAvonOH39$255.00$191.25$26.78$127.50$229.50
Lake Hospital SystemConcordOH35$146.00$109.50$31.00$119.47$361.30
Uh Parma Medical CenterParmaOH37$146.00$109.50$31.00$116.80$215.04
Uh Portage Medical CenterRavennaOH37$146.00$109.50$31.00$116.80$215.04
Uh St. John Medical CenterWestlakeOH37$146.00$109.50$31.00$102.20$215.04
Uh Elyria Medical CenterElyriaOH37$146.00$109.50$31.00$102.20$215.04
Uh Ahuja Medical CenterBeachwoodOH37$146.00$109.50$25.75$101.03$215.04
Wayne Hospital CompanyGreenvilleOH0$219.00$164.25
Barnesville HospitalBarnesvilleOH0$210.00$105.00
Summa Rehab HospitalAkronOH0$101.00
Wilson Memorial HospitalSidneyOH0$354.90$177.45
Harrison Community HospitalCadizOH0$85.00$42.50
Henry County Hospital (Cah)NapoleonOH0$90.00$67.50

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.