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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$61.62
Median
$78.87
Max
$78.87
Range multiplier
1.3×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $14.79 | $77.79 | $118.19 | 8.0× |
| UnitedHealthcare | 2 | 7 | $43.3 | $78.02 | $218.09 | 5.0× |
| Blue Cross Blue Shield | 2 | 6 | $48.65 | $67.53 | $90.14 | 1.9× |
| Aetna | 2 | 4 | $50.11 | $87.77 | $105.74 | 2.1× |
| Cigna | 2 | 4 | $27.43 | $63.14 | $107.38 | 3.9× |
| VA Health | 2 | 2 | $48.65 | $60.13 | $71.62 | 1.5× |
| amerihealth negotiated charge | 2 | 2 | $58.73 | $61.08 | $63.43 | 1.1× |
| hscsn negotiated charge | 2 | 2 | $97.82 | $140.34 | $182.86 | 1.9× |
| Multiplan | 2 | 2 | $110.87 | $152.96 | $195.05 | 1.8× |
| pfc negotiated charge | 2 | 2 | $84.78 | $121.63 | $158.48 | 1.9× |
| TRICARE | 2 | 2 | $97.82 | $140.34 | $182.86 | 1.9× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $58.73 | $61.08 | $63.43 | 1.1× |
| medstar family choice maryland negotiated charge | 2 | 2 | $70.15 | $70.85 | $71.56 | 1.0× |
| magellan behavioral health negotiated charge** | 1 | 1 | $19.9 | $19.9 | $19.9 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $219.43 | $219.43 | $219.43 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $84.78 | $84.78 | $84.78 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NATIONAL REHABILITATION HOSPITAL | WASHINGTON | DC | 14 | — | — | $14.79 | $78.87 | $110.87 |
| WASHINGTON HOSPITAL CENTER | WASHINGTON | DC | 15 | — | — | $19.9 | $61.62 | $219.43 |
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.