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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$37.57
Median
$60.04
Max
$133.2
Range multiplier
3.5×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield229$36.83$124$178.754.9×
Aetna315$24.21$46.56$182.77.5×
UnitedHealthcare313$17.93$68.41$182.710.2×
Humana210$27.18$46.66$172.196.3×
Molina210$18.86$66.4$122.166.5×
Kaiser Permanente28$27.68$122.4$182.76.6×
Medicare Advantage16$28.9$66.58$178.756.2×
Multiplan26$26.8$53.05$187.27.0×
Ambetter15$79.1$124$1562.0×
Cigna14$111.6$154.35$182.71.6×
first choice generic [8999]14$111.6$154.35$182.71.6×
mva progressive [1027]14$119.04$164.64$194.881.6×
mva state farm [1028]14$119.04$164.64$194.881.6×
pacific source [8008]14$111.6$154.35$182.71.6×
wellpoint [6009]14$48.36$66.89$79.171.6×
ameriben [8000]14$111.6$154.35$182.71.6×
mega life [8005]14$111.6$154.35$182.71.6×
mid west natl life [8006]14$111.6$154.35$182.71.6×
pacific source administrators [8010]14$111.6$154.35$182.71.6×
first choice [8009]14$111.6$154.35$182.71.6×
mutual of omaha [8007]14$111.6$154.35$182.71.6×
First Health14$111.6$154.35$182.71.6×
asuris truadvantage [4011]13$28.9$66.58$178.756.2×
chp advantage [4001]13$33.14$76.35$204.996.2×
community health network of wa [1055]13$49.06$57.7$1132.3×
Medicare13$36.83$36.83$38.671.0×
chpw [130116]13$45.31$58.93$109.332.4×
bh managed health network [130106]12$25$25$251.0×
chp [6000]12$19.49$25.9$32.31.7×
coordinated care [6007]12$19.41$25.79$32.171.7×
GEHA12$133.2$154.35$175.51.3×
mva farmers [1026]12$142.08$164.64$187.21.3×
the health plan hmo12$62.16$63.84$65.521.1×
umr12$58.46$60.04$61.621.1×
bh mnh [130108]12$25$25$251.0×
the health plan12$26.51$26.51$26.511.0×
wellpoint medadvantage [210115]11$36.83$36.83$36.831.0×
bh optum health medadvantage [210117]11$36.83$36.83$36.831.0×
chpw med advantage [210102]11$36.83$36.83$36.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST ADAMS RURAL HOSPITALRITZVILLEWA5$123$73.8$26.51$60.04$68.64
VALLEY MEDICAL CENTERRENTONWA14$324$226.8$24.21$37.57$152.28
WENATCHEE VALLEY HOSPITALWENATCHEEWA29$203$182.7$17.93$133.2$204.99

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.