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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in FL
Hospitals
2
Min
$51.26
Median
$230.28
Max
$230.28
Range multiplier
4.5×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Medicaid | 1 | 2 | $166.47 | $221.96 | $277.45 | 1.7× |
| Humana | 1 | 2 | $124.85 | $201.15 | $277.45 | 2.2× |
| bc health options op rate | 1 | 1 | $227.51 | $227.51 | $227.51 | 1.0× |
| bc network blue op rate | 1 | 1 | $221.96 | $221.96 | $221.96 | 1.0× |
| bc ppo op rate | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| bc traditional op rate | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| beechstreet commercial op rate | 1 | 1 | $194.21 | $194.22 | $194.21 | 1.0× |
| Cigna | 1 | 1 | $183.12 | $183.12 | $183.12 | 1.0× |
| clear health alliance op rate | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| employers health network op rate | 1 | 1 | $166.47 | $166.47 | $166.47 | 1.0× |
| evernorth behavioral health | 1 | 1 | $51.26 | $51.26 | $51.26 | 1.0× |
| First Health | 1 | 1 | $194.21 | $194.22 | $194.21 | 1.0× |
| hygeia op rate | 1 | 1 | $244.16 | $244.16 | $244.16 | 1.0× |
| Multiplan | 1 | 1 | $230.28 | $230.28 | $230.28 | 1.0× |
| phcs op rate | 1 | 1 | $230.28 | $230.28 | $230.28 | 1.0× |
| prestige health choice op rate | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| southcare op rate | 1 | 1 | $255.25 | $255.25 | $255.25 | 1.0× |
| sunshine state health plan op rate | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| unicare op rate | 1 | 1 | $221.96 | $221.96 | $221.96 | 1.0× |
| Aetna | 1 | 1 | $180.34 | $180.34 | $180.34 | 1.0× |
| UnitedHealthcare | 1 | 1 | $277.45 | $277.45 | $277.45 | 1.0× |
| bc blue select op rate | 1 | 1 | $194.21 | $194.22 | $194.21 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| EMERALD COAST BEHAVIORAL HOSPITAL | PANAMA CITY | FL | 1 | — | — | $51.26 | $51.26 | $51.26 |
| THE VILLAGES TRI-COUNTY MEDICAL CENT | THE VILLAGES | FL | 21 | — | $166.47 | $124.85 | $230.28 | $277.45 |
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.