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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$22.92
Median
$23.72
Max
$86.18
Range multiplier
3.8×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna568$24.67$83.40$172.007.0×
UnitedHealthcare550$17.88$84.20$237.0013.3×
Aetna1236$22.92$24.51$90.754.0×
Blue Cross Blue Shield531$19.32$57.04$124.006.4×
Ambetter410$45.50$83.40$120.002.6×
medsave usa39$73.60$111.20$160.002.2×
galaxy health network39$82.80$125.10$180.002.2×
initial group39$80.96$122.32$176.002.2×
usa managed care organization39$64.40$97.30$140.002.2×
direct care america39$73.60$111.20$160.002.2×
ehn39$41.40$62.55$90.002.2×
ccn managed care39$78.20$118.15$170.002.2×
community services network39$59.80$90.35$130.002.2×
national provider network39$73.60$111.20$160.002.2×
novanet39$69.00$104.25$150.002.2×
beech street39$78.20$118.15$170.002.2×
correctional medical services39$55.20$83.40$120.002.2×
community plan44$36.06$36.06$36.061.0×
Medicare24$32.22$32.22$32.501.0×
Medicaid14$24.52$29.27$29.271.2×
Molina12$29.27$32.93$36.591.3×
Humana22$32.22$32.36$32.501.0×
WellCare11$32.50$32.50$32.501.0×
american health advantage mcr adv [450117]11$32.22$32.22$32.221.0×
amerigroup11$28.44$28.44$28.441.0×
amerivantage11$28.44$28.44$28.441.0×
blue11$32.50$32.50$32.501.0×
bluecare11$27.06$27.06$27.061.0×
carecentrix [450200]11$32.22$32.22$32.221.0×
corecivic11$35.75$35.75$35.751.0×
corizon11$21.26$21.26$21.261.0×
devoted health [450111]11$32.22$32.22$32.221.0×
farm bureau11$33.15$33.15$33.151.0×
generic hospice vbid [10940000101]11$32.22$32.22$32.221.0×
Medicare Advantage11$32.22$32.22$32.221.0×
naphcare11$48.75$48.75$48.751.0×
provider network of america11$55.25$55.25$55.251.0×
tenncare11$27.06$27.06$27.061.0×
transplant optum tenncare [350013]11$34.48$34.48$34.481.0×
upmc11$32.50$32.50$32.501.0×
va hospital [600005]11$32.22$32.22$32.221.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fort Loudoun Medical CenterLenoir CityTN17$200.00$64.00$19.32$86.18$237.00
Morristown-Hamblen HospitalMorristownTN17$200.00$62.00$19.32$86.18$237.00
Roane County Medical CenterHarrimanTN17$200.00$62.00$19.32$86.18$237.00
Metro Nashville General HospitalNashvilleTN19$165.00$99.00$17.88$32.50$90.75
Methodist H/C Memphis Hospt.MemphisTN14$257.00$56.54$24.52$32.22$123.62
St Thomas Dekalb HospitalSmithvilleTN2$22.92$23.72$36.06
Saint Thomas Highland HospitalSpartaTN2$22.92$23.72$36.06
Saint Thomas Stones River HospitalWoodburyTN2$22.92$23.72$36.06
Ascension St Thomas River ParkMcminnvilleTN2$22.92$23.72$36.06
Saint Thomas Midtown HospitalNashvilleTN1$22.92$22.92$22.92
Saint Thomas Rutherford HospitalMurfreesboroTN1$22.92$22.92$24.51
Saint Thomas West HospitalNashvilleTN1$22.92$22.92$24.51
St Thomas Hickman HospitalCentervilleTN1$22.92$22.92$24.51
St Thomas AscensionNashvilleTN0$995.17$245.81
Big South Fork Medical CenterOneidaTN0$43.00$12.90

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.