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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in CO
Hospitals
5
Min
$48.94
Median
$171.75
Max
$582.91
Range multiplier
11.9×
By payer (18 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| negotiated charge | 1 | 63 | $4.92 | $48.01 | $313.21 | 63.7× |
| Blue Cross Blue Shield | 2 | 8 | $86 | $123.5 | $218 | 2.5× |
| UnitedHealthcare | 2 | 5 | $84 | $148 | $171.75 | 2.0× |
| charge amount | 1 | 2 | $135 | $149.5 | $164 | 1.2× |
| cofinity | 1 | 1 | $171.75 | $171.75 | $171.75 | 1.0× |
| friday health plan | 1 | 1 | $160.3 | $160.3 | $160.3 | 1.0× |
| health management network | 1 | 1 | $194.65 | $194.65 | $194.65 | 1.0× |
| Aetna | 1 | 1 | $201.52 | $201.52 | $201.52 | 1.0× |
| police departments [50065] | 1 | 1 | $1,000 | $1,000 | $1,000 | 1.0× |
| presbyterian of nm: php pos, administrative services only & ppo plan | 1 | 1 | $183.2 | $183.2 | $183.2 | 1.0× |
| presbyterian of nm: php salud plan | 1 | 1 | $171.75 | $171.75 | $171.75 | 1.0× |
| rocky mountain health plan: commercial ip | 1 | 1 | $148.85 | $148.85 | $148.85 | 1.0× |
| rocky mountain health plan: commercial op | 1 | 1 | $160.3 | $160.3 | $160.3 | 1.0× |
| texas rehabilitation comm [50038] | 1 | 1 | $165.82 | $165.82 | $165.82 | 1.0× |
| Humana | 1 | 1 | $160.3 | $160.3 | $160.3 | 1.0× |
| allsavers ip | 1 | 1 | $171.75 | $171.75 | $171.75 | 1.0× |
| child health plan+ | 1 | 1 | $148.85 | $148.85 | $148.85 | 1.0× |
| Cigna | 1 | 1 | $214.12 | $214.12 | $214.12 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| RIO GRANDE HOSPITAL | DEL NORTE | CO | 2 | $892.1 | $178.42 | $165.82 | $582.91 | $1,000 |
| PIONEERS MEDICAL CENTER | MEEKER | CO | 2 | — | $131.2 | $4.92 | $48.94 | $313.21 |
| ANIMAS SURGICAL HOSPITAL | DURANGO | CO | 14 | $229 | — | $112.21 | $171.75 | $214.12 |
| MT. SAN RAFAEL HOSPITAL | TRINIDAD | CO | 2 | $242 | $169 | $84 | $123.5 | $218 |
| VAIL VALLEY MEDICAL CENTER | VAIL | CO | 0 | $491 | $368.25 | — | — | — |
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.