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Office visit, established patient, 20-29 minutes
CPT 99213 · negotiated-rate distribution across hospitals in MN
Hospitals
30
Min
$66.25
Median
$237.58
Max
$273.60
Range multiplier
4.1×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| america's ppo | 11 | 584 | $188.08 | $242.83 | $373.52 | 2.0× |
| Multiplan | 12 | 213 | $52.25 | $322.61 | $345.10 | 6.6× |
| security health plan | 11 | 210 | $60.93 | $284.65 | $296.38 | 4.9× |
| First Health | 15 | 208 | $112.80 | $311.22 | $945.00 | 8.4× |
| wisconsin physician services | 11 | 201 | $280.80 | $341.58 | $365.40 | 1.3× |
| private healthcare systems | 11 | 201 | $265.20 | $322.61 | $345.10 | 1.3× |
| sanford health plan | 12 | 198 | $60.93 | $217.34 | $248.90 | 4.1× |
| ucare | 12 | 174 | $24.57 | $189.77 | $230.56 | 9.4× |
| UnitedHealthcare | 18 | 164 | $43.16 | $180.50 | $958.65 | 22.2× |
| medica | 13 | 153 | $22.53 | $251.19 | $292.37 | 13.0× |
| health partners | 12 | 145 | $21.45 | $246.47 | $774.46 | 36.1× |
| Blue Cross Blue Shield | 18 | 138 | $19.45 | $119.32 | $1,106.77 | 56.9× |
| optum | 4 | 32 | $46.50 | $206.86 | $239.85 | 5.2× |
| Humana | 4 | 25 | $23.40 | $234.65 | $247.62 | 10.6× |
| Medicaid | 6 | 22 | $2.69 | $74.82 | $728.70 | 270.9× |
| primewest | 11 | 22 | $45.44 | $53.19 | $60.93 | 1.3× |
| itasca medical care | 11 | 22 | $45.44 | $53.19 | $60.93 | 1.3× |
| Aetna | 2 | 19 | $66.03 | $250.02 | $259.05 | 3.9× |
| emerging therapies | 1 | 18 | $199.68 | $235.55 | $243.81 | 1.2× |
| south country health alliance | 9 | 18 | $45.44 | $53.19 | $60.93 | 1.3× |
| interlink | 1 | 18 | $234.00 | $276.03 | $285.71 | 1.2× |
| Cigna | 1 | 18 | $174.72 | $206.10 | $213.33 | 1.2× |
| commercial | sanford health plan | all plans | 2 | 12 | $49.40 | $179.55 | $253.65 | 5.1× |
| Medicare | 7 | 11 | $63.47 | $72.99 | $139.76 | 2.2× |
| WellCare | 11 | 11 | $60.93 | $60.93 | $60.93 | 1.0× |
| hennepin health | 9 | 10 | $51.35 | $51.35 | $51.35 | 1.0× |
| commercial | health partners | all plans | 2 | 7 | $45.66 | $159.80 | $234.43 | 5.1× |
| healthpartners [900713] | 4 | 5 | $145.70 | $225.99 | $730.12 | 5.0× |
| commercial | medica | all plans | 2 | 5 | $45.30 | $54.21 | $232.56 | 5.1× |
| medica [900156] | 3 | 4 | $143.19 | $266.16 | $954.45 | 6.7× |
| hp | 1 | 4 | $48.75 | $170.63 | $233.00 | 4.8× |
| blue plus | 1 | 3 | $73.99 | $92.26 | $388.55 | 5.3× |
| commercial | preferred one | ppo | 1 | 3 | $146.01 | $169.26 | $194.37 | 1.3× |
| commercial | preferred one | all other plans | 1 | 1 | $84.24 | $84.24 | $84.24 | 1.0× |
| preferred one | 1 | 1 | $127.50 | $127.50 | $127.50 | 1.0× |
| healthpartners | 1 | 1 | $168.84 | $168.84 | $168.84 | 1.0× |
| ma wisconsin replacement [950271] | 1 | 1 | $127.16 | $127.16 | $127.16 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Gabriels Hospital | Little Falls | MN | 13 | $262.00 | $151.96 | $19.45 | $80.18 | $248.90 |
| Olivia Hospital And Clinics | Olivia | MN | 7 | $167.00 | $101.87 | $29.09 | $75.92 | $162.11 |
| Lakeview Memorial | Stillwater | MN | 6 | $141.00 | $52.17 | $2.69 | $66.25 | $349.27 |
| Fairview Lakes Regional Medical Ctr | Wyoming | MN | 17 | $380.95 | $231.37 | $45.44 | $273.60 | $774.46 |
| Fairview Northland Reg | Princeton | MN | 18 | $380.95 | $231.37 | $45.44 | $273.60 | $774.46 |
| M Health Fairview Bethesda Hospital | St Paul | MN | 17 | $380.95 | $161.91 | $45.44 | $273.60 | $774.45 |
| Healtheast St Josephs Hospital | St Paul | MN | 17 | $380.95 | $161.91 | $45.44 | $273.60 | $774.45 |
| Healtheast St Johns Hospital | Maplewood | MN | 17 | $380.95 | $161.91 | $45.44 | $273.60 | $774.45 |
| Healtheast Woodwinds Hospital | Woodbury | MN | 17 | $380.95 | $161.91 | $45.44 | $273.60 | $774.45 |
| Fairview Ridges Hospital | Burnsville | MN | 17 | $380.95 | $161.91 | $45.44 | $273.60 | $774.45 |
| Fairview Southdale Hospital | Edina | MN | 18 | $380.95 | $231.37 | $45.44 | $272.33 | $774.45 |
| University Of Minnesota Medical Ctr | Minneapolis | MN | 23 | $380.95 | $231.37 | $45.44 | $246.83 | $774.46 |
| Range Regional Health Services | Hibbing | MN | 16 | $406.00 | $172.55 | $45.44 | $237.58 | $1,106.77 |
| Grand Itasca Clinic And Hospital | Grand Rapids | MN | 15 | $406.00 | $172.55 | $45.44 | $209.07 | $677.26 |
| Community Memorial Hospital | Cloquet | MN | 1 | $233.00 | $156.11 | $48.75 | $170.63 | $233.00 |
| St. Josephs Area Health Services | Park Rapids | MN | 9 | $267.00 | $165.28 | $35.08 | $155.43 | $253.65 |
| Hutchinson Health Care | Hutchinson | MN | 8 | $1,050.00 | $483.00 | $63.47 | $145.50 | $958.65 |
| Johnson Memorial Hospital | Dawson | MN | 10 | $266.29 | $226.35 | $43.57 | $139.50 | $388.55 |
| Regions Hospital | St Paul | MN | 7 | $337.00 | $87.62 | $41.60 | $112.80 | $372.50 |
| Mercy Hospital | Coon Rapids | MN | 0 | $358.20 | $171.94 | — | — | — |
| Cambridge Medical Center | Cambridge | MN | 0 | $199.40 | $111.66 | — | — | — |
| St. Francis Regional Medical Center | Shakopee | MN | 0 | $199.40 | $111.66 | — | — | — |
| Buffalo Hospital | Buffalo | MN | 0 | $199.40 | $111.66 | — | — | — |
| Allina Health Faribault Medical Ctr | Faribault | MN | 0 | $358.20 | $171.94 | — | — | — |
| Owatonna Hospital | Owatonna | MN | 0 | $199.40 | $111.66 | — | — | — |
| Regina Hospital | Hastings | MN | 0 | $358.20 | $171.94 | — | — | — |
| New Ulm Medical Center | New Ulm | MN | 0 | $199.40 | $111.66 | — | — | — |
| Abbott Northwestern Hospital | Minneapolis | MN | 0 | $358.20 | $171.94 | — | — | — |
| Sanford Thief River Falls | Thief River Falls | MN | 0 | $199.40 | $111.66 | — | — | — |
| United Hospital | Saint Paul | MN | 0 | $358.20 | $171.94 | — | — | — |
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.