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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$77.97
Median
$93.20
Max
$194.60
Range multiplier
2.5×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1784$36.98$93.20$409.4511.1×
UnitedHealthcare1978$30.10$114.52$422.3814.0×
medica460$30.10$232.96$413.7613.7×
Aetna1647$60.36$99.17$342.795.7×
midlands choice429$77.97$245.76$413.765.3×
millard public schools224$82.56$245.76$413.765.0×
greater omaha packing224$82.56$245.76$413.765.0×
one world224$82.56$245.76$413.765.0×
Humana1620$30.10$63.38$185.336.2×
Cigna1618$100.00$124.66$351.093.5×
phcs316$84.28$203.44$422.385.0×
quiktrip316$82.56$185.28$413.765.0×
Multiplan316$84.28$213.84$422.385.0×
health partners open network1414$83.62$83.62$83.621.0×
amerigroup212$31.61$112.29$194.606.2×
timpte212$82.56$245.76$413.765.0×
Centene311$21.90$91.40$189.048.6×
Molina1111$61.57$61.57$74.001.2×
amerivantage1111$60.36$63.38$63.381.1×
bc illinois community28$138.55$185.66$218.651.6×
amps26$66.83$221.65$411.446.2×
great plains26$31.61$104.84$194.606.2×
pace26$30.10$99.84$185.336.2×
iamolina26$38.46$114.49$192.755.0×
healthpartners14$74.00$202.13$311.254.2×
Anthem BCBS14$66.00$219.88$352.755.3×
common ground13$65.00$65.00$65.001.0×
total care13$37.72$112.29$189.045.0×
wisconsin physician service13$90.00$95.00$95.001.1×
meridian health plan22$63.38$63.38$63.381.0×
elap12$40.88$49.56$58.241.4×
Ambetter22$60.36$60.36$60.361.0×
health eos plus12$249.00$249.00$249.001.0×
health eos12$332.00$332.00$332.001.0×
health alliance22$60.36$60.36$60.361.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
iowa health11$63.38$63.38$63.381.0×
medical associates health plan11$105.63$105.63$105.631.0×
meridian11$63.38$63.38$63.381.0×
health partners11$77.97$77.97$77.971.0×
everpointe elite11$75.00$75.00$75.001.0×
dean health plan11$184.92$184.92$184.921.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
The Finley HospitalDubuqueIA12$201.00$160.80$60.36$96.19$218.65
Trinity MuscatineMuscatineIA10$201.00$160.80$60.36$93.20$218.65
Trinity Regional Medical CenterFort DodgeIA6$201.00$160.80$60.36$93.20$124.66
Iowa Lutheran HospitalDes MoinesIA8$201.00$160.80$60.36$93.20$124.66
Unitypoint Health-MarshalltownMarshalltownIA8$201.00$160.80$60.36$93.20$124.66
St. Lukes Methodist HospitalCedar RapidsIA8$201.00$160.80$60.36$93.20$124.66
Iowa Methodist Medical CenterDes MoinesIA8$201.00$160.80$60.36$93.20$124.66
Allen Memorial HospitalWaterlooIA8$201.00$160.80$60.36$93.20$124.66
St. Lukes Regl Medical CenterSioux CityIA8$201.00$160.80$60.36$93.20$124.66
Grinnell Regional Medical CenterGrinnellIA8$201.00$160.80$60.36$93.20$124.66
Grundy County Mem. HospitalGrundy CenterIA8$201.00$160.80$60.36$93.20$124.66
Jones Regional Medical CtrAnamosaIA8$201.00$160.80$60.36$93.20$124.66
Community Mem. Hospt. SummerSumnerIA8$201.00$160.80$60.36$93.20$124.66
Washington County HospitalWashingtonIA18$415.00$207.50$65.00$93.00$352.75
Trinity BettendorfBettendorfIA9$201.00$160.80$60.36$88.41$124.66
Broadlawns Medical CenterDes MoinesIA7$215.00$215.00$64.36$77.97$215.00
Chi Health Mercy CorningCorningIA18$431.00$206.88$36.98$194.60$422.38
Chi Health - Missouri ValleyMissouri ValleyIA19$431.00$211.19$30.10$190.90$422.38
Chi Health Mercy Council BluffsCouncil BluffsIA8$208.00$87.36$21.90$109.50$176.80
Greene County Medical CenterJeffersonIA0$207.00$115.92
Regional Health Services Of Howard CCrescoIA0$519.00
Spencer Municipal HospitalSpencerIA0$225.80$169.35
Mercy Hospital Iowa CityIowa CityIA0$291.00$139.68
Peoples Memorial HospitalIndependenceIA0$409.58$348.14
Stewart Memorial HospitalLake CityIA0$289.00$231.00
Loring HospitalSac CityIA0$200.00$160.00
Story County HospitalNevadaIA0$320.00$256.00
Mitchell County Regional Health CentOsageIA0$247.50$222.75

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.