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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in MD

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Hospitals
27
Min
$50.27
Median
$141.07
Max
$195.00
Range multiplier
3.9×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield217$42.87$95.86$119.182.8×
johns hopkins [213]112$68.59$96.22$128.931.9×
Aetna210$47.22$69.69$98.582.1×
UnitedHealthcare18$68.59$89.03$98.581.4×
Cigna27$68.59$96.22$108.441.6×
Multiplan16$68.59$96.22$110.651.6×
Kaiser Permanente16$93.97$131.82$135.671.4×
keycare advantage [299]15$68.59$81.79$96.221.4×
Humana24$68.59$82.41$96.221.4×
md physician care [237]13$71.65$98.58$98.581.4×
Medicaid13$64.47$90.45$90.451.4×
Medicare13$68.59$96.22$96.221.4×
wellpoint [235]13$71.65$98.58$98.581.4×
alterwood health [290]13$73.08$100.55$100.551.4×
cfchp mco [239]13$68.59$96.22$96.221.4×
communicare advantage [300]13$68.59$96.22$96.221.4×
First Health13$89.17$125.09$125.091.4×
jai medical services [236]13$75.23$103.51$103.511.4×
priority partners [241]13$71.65$98.58$98.581.4×
provider partners health plan [298]13$68.59$96.22$96.221.4×
all payers12$262.63$361.12$459.601.7×
all payer - maryland12$195.00$195.00$195.001.0×
usa managed care organization [301]12$173.20$173.20$173.201.0×
all payors11$141.07$141.07$141.071.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Greater Baltimore Medical CenterTowsonMD22$459.60$450.41$45.43$96.22$459.60
Kennedy KriegerBaltimoreMD4$420.00$336.00$42.87$50.27$89.79
Western Maryland CenterHagerstownMD1$195.00$117.00$195.00$195.00$195.00
Tidalhealth Peninsula Regional IncSalisburyMD1$141.07$138.25$141.07$141.07$141.07
Harford Memorial HospitalHavre De GraceMD0$235.04$230.34
Medstar Montgomery Medical CenterOlneyMD0$326.30$319.77
Medstar Union Memorial HospitalBaltimoreMD0$250.62$245.61
St. Marys HospitalLeonardtownMD0$194.52$190.63
Chester River Hospital CenterChestertownMD0$175.80$172.28
Medstar Harbor HospitalBaltimoreMD0$118.62$116.25
Civista Medical CenterLa PlataMD0$164.52$161.23
Memorial Easton219 South Washington StreetMD0$321.88$315.44
Meritus Medical CenterHagerstownMD0$174.88$171.38
Baltimore Washington Medical CenterGlen BurnieMD0$202.52$198.47
Upper Chesapeake Medical CenterBel AirMD0$187.08$183.34
Doctors Community HospitalLanhamMD0$379.81$372.21
Southern Maryland HospitalClintonMD0$216.53$212.20
Laurel Regional HospitalLaurelMD0$247.68$242.73
Good Samaritan HospitalBaltimoreMD0$257.94$252.78
James Lawrence Kernan HospitalBaltimoreMD0$498.88$488.90
Medstar Southern Maryland Hospital CClintonMD0$216.53$212.20
St. Joseph Medical CenterTowsonMD0$235.04$230.34
Mt Washington PediatricsBaltimoreMD0$91.08$89.26
Maryland General HospitalBaltimoreMD0$291.84$286.00
University Of Maryland Med SysBaltimoreMD0$317.16$310.82
Prince Georges Hospital Center IncLaurelMD0$253.00$247.94
Frederick Memorial HospitalFrederickMD0$139.87$137.07

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.