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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in CO

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Hospitals
5
Min
$48.94
Median
$171.75
Max
$582.91
Range multiplier
11.9×

By payer (18 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
negotiated charge163$4.92$48.01$313.2163.7×
Blue Cross Blue Shield28$86.00$123.50$218.002.5×
UnitedHealthcare25$84.00$148.00$171.752.0×
charge amount12$135.00$149.50$164.001.2×
cofinity11$171.75$171.75$171.751.0×
friday health plan11$160.30$160.30$160.301.0×
health management network11$194.65$194.65$194.651.0×
Aetna11$201.52$201.52$201.521.0×
police departments [50065]11$1,000.00$1,000.00$1,000.001.0×
presbyterian of nm: php pos, administrative services only & ppo plan11$183.20$183.20$183.201.0×
presbyterian of nm: php salud plan11$171.75$171.75$171.751.0×
rocky mountain health plan: commercial ip11$148.85$148.85$148.851.0×
rocky mountain health plan: commercial op11$160.30$160.30$160.301.0×
texas rehabilitation comm [50038]11$165.82$165.82$165.821.0×
Humana11$160.30$160.30$160.301.0×
allsavers ip11$171.75$171.75$171.751.0×
child health plan+11$148.85$148.85$148.851.0×
Cigna11$214.12$214.12$214.121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Rio Grande HospitalDel NorteCO2$892.10$178.42$165.82$582.91$1,000.00
Pioneers Medical CenterMeekerCO2$131.20$4.92$48.94$313.21
Animas Surgical HospitalDurangoCO14$229.00$112.21$171.75$214.12
Mt. San Rafael HospitalTrinidadCO2$242.00$169.00$84.00$123.50$218.00
Vail Valley Medical CenterVailCO0$491.00$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.