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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$111.13
Median
$112.35
Max
$112.35
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$45.55$100.05$143.053.1×
Aetna618$89.08$90.65$116.201.3×
Cigna612$111.13$118.22$126.001.1×
sentara health plan612$44.31$76.41$108.502.4×
gateway - tier 166$166.25$166.25$166.251.0×
gateway - tier 266$140.00$140.00$140.001.0×
gateway - tier 366$96.25$96.25$96.251.0×
Humana66$45.55$45.55$45.551.0×
vhn - ultra66$108.50$108.50$108.501.0×
Anthem BCBS66$43.48$43.48$43.481.0×
connecticare66$122.50$122.50$122.501.0×
First Health66$45.55$45.55$45.551.0×
vhn - link66$157.50$157.50$157.501.0×
vhn - plus66$134.75$134.75$134.751.0×
vhn - secondary payors66$166.25$166.25$166.251.0×
vhn66$140.00$140.00$140.001.0×
national provider network11$168.00$168.00$168.001.0×
integrated health plan11$148.75$148.75$148.751.0×
corvel11$39.34$39.34$39.341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$175.00$61.25$43.48$112.35$166.25
Carilion Medical CenterRoanokeVA16$175.00$61.25$43.48$112.35$166.25
Carilion New River Valley Med CenterChristiansburgVA16$175.00$61.25$43.48$112.35$166.25
Carilion Franklin Memorial HospitalRocky MountVA16$175.00$61.25$43.48$112.35$166.25
Carilion Giles Community HospitalPearisburgVA16$175.00$61.25$43.48$112.35$166.25
Carilion Tazewell Community HospitalTazewellVA19$175.00$61.25$39.34$111.13$168.00
Childrens Hospital Of The Kings DaNorfolkVA0$102.00$91.80
Lynn House Of Potomac Valley Inc.AlexandriaVA0$290.00$145.00
Bon Secours Depaul Medical CenterNorfolkVA0$302.00$196.30

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.