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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in AR

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Hospitals
5
Min
$66
Median
$141.07
Max
$175.46
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare431$20.8$58$175.468.4×
Blue Cross Blue Shield221$54.71$69.96$101.521.9×
carelon121$52.02$55.19$139.922.7×
community care behavorial health university of pittsburgh medical center116$75$108.13$1572.1×
community care behavorial health healthchoices112$75$108.13$1572.1×
Medicare212$54.71$65.33$84.911.6×
amerihealth110$36.75$50.75$661.8×
Cigna49$54.71$104.94$175.463.2×
Aetna38$54.71$130.19$175.463.2×
TRICARE16$54.71$69.81$84.911.6×
geisinger16$50.75$58$641.3×
Humana36$54.71$84.91$175.463.2×
Medicare Advantage26$175.46$175.46$175.461.0×
univera16$55.48$60.87$73.931.3×
Ambetter34$58.54$117.75$175.463.0×
blue advantage13$60.03$74.12$101.521.7×
pennsylvania health and wellness13$46.2$52.8$601.3×
arkansas firstsource13$60.03$74.12$101.521.7×
Anthem BCBS13$60.03$74.12$101.521.7×
Medicaid33$60.03$175.46$175.462.9×
blue card13$60.03$74.12$101.521.7×
health advantage13$60.03$74.12$101.521.7×
windsor sterling12$54.71$69.81$84.911.6×
american health plan22$175.46$175.46$175.461.0×
arkansas total care (passe)22$175.46$175.46$175.461.0×
care source (passe)22$175.46$175.46$175.461.0×
CHAMPVA12$54.71$69.81$84.911.6×
devoted22$175.46$175.46$175.461.0×
empower22$175.46$175.46$175.461.0×
essence22$175.46$175.46$175.461.0×
medipak advantage12$54.71$69.81$84.911.6×
Multiplan22$149.14$149.14$149.141.0×
municipal league22$175.46$175.46$175.461.0×
optumhealth12$54.71$69.81$84.911.6×
phcs22$138.61$138.61$138.611.0×
qualchoice22$175.46$175.46$175.461.0×
qualchoice advantage12$54.71$69.81$84.911.6×
summit (passe)22$175.46$175.46$175.461.0×
va ccn optum health12$54.71$69.81$84.911.6×
va med center12$54.71$69.81$84.911.6×
vaccn22$175.46$175.46$175.461.0×
WellCare12$54.71$69.81$84.911.6×
abcbs22$175.46$175.46$175.461.0×
martin's point11$192.21$192.21$192.211.0×
life pittsburgh11$61.63$61.63$61.631.0×
jefferson health plans11$61.2$61.2$61.21.0×
qualchoice exchange11$112.8$112.8$112.81.0×
qualchoice of arkansas11$112.8$112.8$112.81.0×
municipal health benefit11$67.68$67.68$67.681.0×
Self-Pay (Cash)11$56.4$56.4$56.41.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
OUACHITA COUNTY MEDICAL CENTERCAMDENAR30$112.8$54.71$74.12$112.8
DREW MEMORIAL HOSPITAL INCMONTICELLOAR15$508$396.24$20.8$66$192.21
MERCY REHAB HOSPITAL FORT SMITHFORT SMITHAR20$175.46$175.46$138.61$175.46$175.46
ARKANSAS CHILDRENS NORTHWESTSPRINGDALEAR20$175.46$175.46$138.61$175.46$175.46
CONWAY REGIONAL MEDICAL CENTER INCCONWAYAR1$141.07$138.25$141.07$141.07$141.07

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.