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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$51.26
Median
$152.23
Max
$184.66
Range multiplier
3.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna537$46.5$247.15$954.920.5×
UnitedHealthcare635$1$120$923.07923.1×
Blue Cross Blue Shield635$52.5$154.35$2,80053.3×
Cigna432$1$216.9$926.26926.3×
First Health319$98.65$188.1$1,007.9510.2×
Health Net112$46.23$316.71$1,029.1722.3×
Humana58$46.23$106.66$179.363.9×
WellCare48$23.63$49.94$172.987.3×
Medicaid18$1$110.09$423.66423.7×
CareSource47$13.49$48.17$176.3413.1×
alliant op rate24$104.5$131.75$1591.5×
phcs op rate24$192.28$242.42$292.561.5×
secure health op rate24$104.5$131.75$1591.5×
beech street op rate24$188.1$237.15$286.21.5×
alliant health plan24$105$157.5$2312.2×
dodge cty op rate24$50.16$63.24$76.321.5×
amerigroup community care22$76.52$81.07$85.611.1×
peach state hp op rate12$44.96$56.69$68.411.5×
peach state health plan op rate12$35.66$44.96$54.251.5×
evernorth behavioral health11$51.26$51.26$51.261.0×
arizona complete health11$46.23$46.23$46.231.0×
banner health11$46.23$46.23$46.231.0×
care 1st11$46.23$46.23$46.231.0×
acchs11$46.23$46.23$46.231.0×
health choice11$48.55$48.55$48.551.0×
mercy care11$48.55$48.55$48.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA3$746.47$13.49$53.12$179.36
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$593$237.2$51.26$51.26$51.26
DODGE COUNTY HOSPITALEASTMANGA5$794.11$1$184.66$2,800
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$1,061$787.27$46.23$172.9$1,029.17
PERRY HOSPITALPERRYGA11$34.58$156.68$318
HOUSTON MEDICAL CENTERWARNER ROBINSGA12$43.65$152.23$318
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$330$165$33$106.13$280.5
UNION GENERAL HOSPITALBLAIRSVILLEGA8$300$150$23.63$106.13$255
SOUTHWELL MEDICALADELGA0$485$242.5

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.