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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in KY

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Hospitals
10
Min
$38.59
Median
$61.29
Max
$576.76
Range multiplier
14.9×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna980$10.57$56.25$797.0175.4×
Anthem BCBS964$10.57$159.32$749.2870.9×
WellCare949$12.58$56.25$222.8217.7×
UnitedHealthcare941$10.57$61.17$639.3260.5×
caresoure kentucky731$44.40$92.81$514.2011.6×
Humana930$10.57$54.94$255.9924.2×
umr822$32.93$169.00$639.3219.4×
Molina819$10.57$50.94$253.5024.0×
optum ccn region 2716$12.58$56.25$56.254.5×
optum ccn region 1716$12.58$56.25$56.254.5×
the health plan14$56.25$60.70$65.141.2×
Cigna13$61.17$83.30$126.602.1×
alliance coal12$73.40$99.18$124.951.7×
CareSource12$61.17$86.82$112.461.8×
Multiplan12$141.61$142.21$142.801.0×
va community care network12$61.17$72.24$83.301.4×
amerigroup12$61.17$72.24$83.301.4×
christian county health dept-cchd11$40.36$40.36$40.361.0×
center care11$126.60$126.60$126.601.0×
beacon health11$40.36$40.36$40.361.0×
First Health11$142.80$142.80$142.801.0×
commonwealth health alliance11$151.20$151.20$151.201.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Middlesboro ArhMiddlesboroKY10$700.00$420.00$13.59$86.53$651.00
Jennie Stuart Medical CenterHopkinsvilleKY16$168.00$52.08$40.36$83.30$160.02
Whitesburg ArhWhitesburgKY10$502.00$301.20$18.50$61.29$466.86
Harlan ArhHarlanKY8$857.00$514.20$137.12$576.76$797.01
Highlands Regional Medical CenterPrestonsburgKY10$857.00$514.20$21.46$56.25$593.90
Tug Valley ArhSouth WilliamsonKY11$520.00$312.00$11.32$56.25$468.00
Paintsville Arh HospitalPaintsvilleKY9$857.00$514.20$10.57$56.25$749.28
Mcdowell ArhMcdowellKY10$227.00$136.20$12.58$38.59$199.76
Hazard ArhHazardKY10$742.00$445.20$16.61$144.17$667.80
Spring View HospitalLebanonKY0$424.44$169.78

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.