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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in GA
Hospitals
9
Min
$51.26
Median
$152.23
Max
$184.66
Range multiplier
3.6×
By payer (26 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 5 | 37 | $46.50 | $247.15 | $954.90 | 20.5× |
| UnitedHealthcare | 6 | 35 | $1.00 | $120.00 | $923.07 | 923.1× |
| Blue Cross Blue Shield | 6 | 35 | $52.50 | $154.35 | $2,800.00 | 53.3× |
| Cigna | 4 | 32 | $1.00 | $216.90 | $926.26 | 926.3× |
| First Health | 3 | 19 | $98.65 | $188.10 | $1,007.95 | 10.2× |
| Health Net | 1 | 12 | $46.23 | $316.71 | $1,029.17 | 22.3× |
| Humana | 5 | 8 | $46.23 | $106.66 | $179.36 | 3.9× |
| WellCare | 4 | 8 | $23.63 | $49.94 | $172.98 | 7.3× |
| Medicaid | 1 | 8 | $1.00 | $110.09 | $423.66 | 423.7× |
| CareSource | 4 | 7 | $13.49 | $48.17 | $176.34 | 13.1× |
| alliant op rate | 2 | 4 | $104.50 | $131.75 | $159.00 | 1.5× |
| phcs op rate | 2 | 4 | $192.28 | $242.42 | $292.56 | 1.5× |
| secure health op rate | 2 | 4 | $104.50 | $131.75 | $159.00 | 1.5× |
| beech street op rate | 2 | 4 | $188.10 | $237.15 | $286.20 | 1.5× |
| alliant health plan | 2 | 4 | $105.00 | $157.50 | $231.00 | 2.2× |
| dodge cty op rate | 2 | 4 | $50.16 | $63.24 | $76.32 | 1.5× |
| amerigroup community care | 2 | 2 | $76.52 | $81.07 | $85.61 | 1.1× |
| peach state hp op rate | 1 | 2 | $44.96 | $56.69 | $68.41 | 1.5× |
| peach state health plan op rate | 1 | 2 | $35.66 | $44.96 | $54.25 | 1.5× |
| evernorth behavioral health | 1 | 1 | $51.26 | $51.26 | $51.26 | 1.0× |
| arizona complete health | 1 | 1 | $46.23 | $46.23 | $46.23 | 1.0× |
| banner health | 1 | 1 | $46.23 | $46.23 | $46.23 | 1.0× |
| care 1st | 1 | 1 | $46.23 | $46.23 | $46.23 | 1.0× |
| acchs | 1 | 1 | $46.23 | $46.23 | $46.23 | 1.0× |
| health choice | 1 | 1 | $48.55 | $48.55 | $48.55 | 1.0× |
| mercy care | 1 | 1 | $48.55 | $48.55 | $48.55 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Southern Regional Medical Center | Riverdale | GA | 3 | $746.47 | — | $13.49 | $53.12 | $179.36 |
| St. Marys Sacred Heart Hospital | Lavonia | GA | 1 | $593.00 | $237.20 | $51.26 | $51.26 | $51.26 |
| Dodge County Hospital | Eastman | GA | 5 | $794.11 | — | $1.00 | $184.66 | $2,800.00 |
| West Central Ga Regional Hospital | Columbus | GA | 13 | $1,061.00 | $787.27 | $46.23 | $172.90 | $1,029.17 |
| Perry Hospital | Perry | GA | 11 | — | — | $34.58 | $156.68 | $318.00 |
| Houston Medical Center | Warner Robins | GA | 12 | — | — | $43.65 | $152.23 | $318.00 |
| Chatuge Regional Hospital | Hiwassee | GA | 9 | $330.00 | $165.00 | $33.00 | $106.13 | $280.50 |
| Union General Hospital | Blairsville | GA | 8 | $300.00 | $150.00 | $23.63 | $106.13 | $255.00 |
| Southwell Medical | Adel | GA | 0 | $485.00 | $242.50 | — | — | — |
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.