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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in AL
Hospitals
18
Min
$40.00
Median
$81.00
Max
$219.60
Range multiplier
5.5×
By payer (32 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 7 | 38 | $1.42 | $129.00 | $209.99 | 147.9× |
| Humana | 8 | 24 | $2.56 | $130.00 | $219.60 | 85.8× |
| UnitedHealthcare | 7 | 17 | $2.56 | $81.00 | $135.00 | 52.7× |
| Aetna | 9 | 16 | $3.70 | $52.89 | $183.18 | 49.5× |
| viva | 5 | 15 | $2.85 | $90.00 | $125.00 | 43.9× |
| Blue Cross Blue Shield | 6 | 13 | $125.00 | $286.46 | $286.46 | 2.3× |
| health spring | 1 | 4 | $44.00 | $56.50 | $67.00 | 1.5× |
| university of utah | 1 | 4 | $31.80 | $36.60 | $39.90 | 1.3× |
| pehp | 1 | 2 | $27.60 | $31.55 | $35.50 | 1.3× |
| harmony health plan | 1 | 1 | $183.18 | $183.18 | $183.18 | 1.0× |
| illinicare | 1 | 1 | $183.18 | $183.18 | $183.18 | 1.0× |
| injury care of utah | 1 | 1 | $78.00 | $78.00 | $78.00 | 1.0× |
| magellan behavioral health | 1 | 1 | $50.00 | $50.00 | $50.00 | 1.0× |
| magellan bh | 1 | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| Medicaid | 1 | 1 | $183.18 | $183.18 | $183.18 | 1.0× |
| meridian | 1 | 1 | $183.18 | $183.18 | $183.18 | 1.0× |
| Multiplan | 1 | 1 | $67.00 | $67.00 | $67.00 | 1.0× |
| occunet | 1 | 1 | $392.50 | $392.50 | $392.50 | 1.0× |
| select health er | 1 | 1 | $57.80 | $57.80 | $57.80 | 1.0× |
| sterling life insurance | 1 | 1 | $25.00 | $25.00 | $25.00 | 1.0× |
| union pacific railroad | 1 | 1 | $65.00 | $65.00 | $65.00 | 1.0× |
| universal healthcare | 1 | 1 | $40.00 | $40.00 | $40.00 | 1.0× |
| usa managed care | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| viva med adv | 1 | 1 | $54.77 | $54.77 | $54.77 | 1.0× |
| angle insurance | 1 | 1 | $48.00 | $48.00 | $48.00 | 1.0× |
| blue advantage | 1 | 1 | $176.83 | $176.83 | $176.83 | 1.0× |
| Bright Health | 1 | 1 | $28.00 | $28.00 | $28.00 | 1.0× |
| county care | 1 | 1 | $183.18 | $183.18 | $183.18 | 1.0× |
| dmba (deseret mutual benefit admin) | 1 | 1 | $37.71 | $37.71 | $37.71 | 1.0× |
| elap | 1 | 1 | $21.18 | $21.18 | $21.18 | 1.0× |
| evernorth behavioral health | 1 | 1 | $51.26 | $51.26 | $51.26 | 1.0× |
| evernorth bh | 1 | 1 | $70.00 | $70.00 | $70.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Huntsville Hospital | Huntsville | AL | 6 | $250.00 | $250.00 | $1.42 | $81.00 | $286.46 |
| Decatur Morgan - Decatur Campus | Decatur | AL | 6 | $250.00 | $250.00 | $1.42 | $81.00 | $286.46 |
| Athens Limestone | Athens | AL | 6 | $250.00 | $250.00 | $1.42 | $81.00 | $286.46 |
| Helen Keller Hospital | Sheffield | AL | 6 | $250.00 | $250.00 | $1.42 | $81.00 | $286.46 |
| Cullman Regional | Cullman | AL | 4 | $595.04 | $387.00 | $54.77 | $54.77 | $54.77 |
| Providence Hospital | Mobile | AL | 1 | $593.00 | $237.20 | $51.26 | $51.26 | $51.26 |
| Mountain View Hospital | Gadsden | AL | 18 | $580.47 | $580.47 | $21.18 | $40.00 | $85.00 |
| St. Vincents East | Birmingham | AL | 2 | $314.00 | $116.18 | $219.60 | $219.60 | $392.50 |
| St. Vincents St. Clair | Pell City | AL | 8 | — | — | $172.87 | $183.18 | $209.99 |
| Washington County Hospital | Chatom | AL | 4 | $221.04 | $54.17 | $125.99 | $171.31 | $198.93 |
| Coosa Valley Medical Center | Sylacauga | AL | 4 | $190.00 | $46.00 | $44.00 | $130.00 | $190.00 |
| Marshall Medical Centers South | Boaz | AL | 3 | $300.00 | $300.00 | $72.00 | $112.50 | $172.00 |
| Noland Hospital Birmingham Ii | Birmingham | AL | 0 | $582.29 | — | — | — | — |
| Noland Hospital Dothan Ii | Dothan | AL | 0 | $1,617.85 | — | — | — | — |
| Noland Hospital Tuscaloosa Ii | Tuscaloosa | AL | 0 | $236.51 | — | — | — | — |
| Tanner Medical Center Alabama Inc. | Wedowee | AL | 0 | $109.00 | $43.60 | — | — | — |
| Springhill Memorial Hospital | Mobile | AL | 0 | $130.94 | $111.30 | — | — | — |
| Southeast Health Medical Center | Dothan | AL | 0 | $358.21 | $143.28 | — | — | — |
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.