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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$44.4$92.81$514.211.6×
Humana930$10.57$54.94$255.9924.2×
umr822$32.93$169$639.3219.4×
Molina819$10.57$50.94$253.524.0×
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$60.7$65.141.2×
Cigna13$61.17$83.3$126.62.1×
alliance coal12$73.4$99.18$124.951.7×
CareSource12$61.17$86.82$112.461.8×
Multiplan12$141.61$142.21$142.81.0×
va community care network12$61.17$72.24$83.31.4×
amerigroup12$61.17$72.24$83.31.4×
christian county health dept-cchd11$40.36$40.36$40.361.0×
center care11$126.6$126.6$126.61.0×
beacon health11$40.36$40.36$40.361.0×
First Health11$142.8$142.8$142.81.0×
commonwealth health alliance11$151.2$151.2$151.21.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MIDDLESBORO ARHMIDDLESBOROKY10$700$420$13.59$86.53$651
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$168$52.08$40.36$83.3$160.02
WHITESBURG ARHWHITESBURGKY10$502$301.2$18.5$61.29$466.86
HARLAN ARHHARLANKY8$857$514.2$137.12$576.76$797.01
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$857$514.2$21.46$56.25$593.9
TUG VALLEY ARHSOUTH WILLIAMSONKY11$520$312$11.32$56.25$468
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$857$514.2$10.57$56.25$749.28
MCDOWELL ARHMCDOWELLKY10$227$136.2$12.58$38.59$199.76
HAZARD ARHHAZARDKY10$742$445.2$16.61$144.17$667.8
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.