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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in MO

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Hospitals
9
Min
$44.67
Median
$172.11
Max
$474.22
Range multiplier
10.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS29$130.80$474.22$474.223.6×
UnitedHealthcare28$172.11$323.17$474.222.8×
Aetna36$44.67$323.17$474.2210.6×
Cigna25$172.11$474.22$474.222.8×
Medicaid23$172.11$172.11$474.222.8×
Humana23$172.11$172.11$474.222.8×
healthlink hmo22$172.11$323.17$474.222.8×
essence22$172.11$323.17$474.222.8×
Blue Cross Blue Shield22$44.67$108.39$172.113.9×
healthlink ppo22$172.11$323.17$474.222.8×
WellCare22$172.11$323.17$474.222.8×
Meritain Health12$474.22$474.22$474.221.0×
medica22$172.11$323.17$474.222.8×
Ambetter22$172.11$323.17$474.222.8×
devoted health11$474.22$474.22$474.221.0×
devoted healthcare11$172.11$172.11$172.111.0×
diversified plastics11$172.11$172.11$172.111.0×
dora school district (smbc)11$172.11$172.11$172.111.0×
easter seals midwest11$172.11$172.11$172.111.0×
Empire BCBS11$172.11$172.11$172.111.0×
employers benefit alliance11$172.11$172.11$172.111.0×
evolutions11$172.11$172.11$172.111.0×
fabick cat11$172.11$172.11$172.111.0×
fair grove school district (smbc)11$172.11$172.11$172.111.0×
First Health11$125.64$125.64$125.641.0×
Health Net11$172.11$172.11$172.111.0×
health systems, inc.11$172.11$172.11$172.111.0×
healthlink workcomp11$146.29$146.29$146.291.0×
healthy blue (missouri care)11$474.22$474.22$474.221.0×
heart of america (tri state healthcare coalition – med pay)11$172.11$172.11$172.111.0×
hickory county skyline school district (smbc)11$172.11$172.11$172.111.0×
home state health plan, inc.11$172.11$172.11$172.111.0×
homestate health plan11$474.22$474.22$474.221.0×
j and m farms, inc. (tri-state healthcare coalition)11$172.11$172.11$172.111.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$172.11$172.11$172.111.0×
laclede county school district conway (smbc)11$172.11$172.11$172.111.0×
lebanon school district (smbc)11$172.11$172.11$172.111.0×
marshfield school district (smbc)11$172.11$172.11$172.111.0×
mercy charity contract11$172.11$172.11$172.111.0×
meridian healthcare of illinois mc plus11$44.67$44.67$44.671.0×
mers goodwill11$172.11$172.11$172.111.0×
missouri state university11$172.11$172.11$172.111.0×
mount vernon school district (smbc)11$172.11$172.11$172.111.0×
mountain grove r-111 school district (smbc)11$172.11$172.11$172.111.0×
mountain view school district (smbc)11$172.11$172.11$172.111.0×
Multiplan11$172.11$172.11$172.111.0×
ozarks community hospital11$172.11$172.11$172.111.0×
pathway/pathway x11$172.11$172.11$172.111.0×
phcs savility11$172.11$172.11$172.111.0×
quality collisson group11$172.11$172.11$172.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Hospital - St. LouisSt. LouisMO19$474.22$474.22$474.22$474.22$474.22
Ranken JordanMaryland HeightsMO3$200.20$200.20$44.67$44.67$44.67
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$172.11$172.11$103.27$172.11$172.11
Missouri Delta Medical CenterSikestonMO0$260.00$65.00
Harrison County Community HospitalBethanyMO0$169.00$84.50
Cox Medical Center BransonBransonMO0$396.09$89.91
Cox-Monett HospitalMonettMO0$396.09$120.81
CoxhealthSpringfieldMO0$573.50$144.52
Barton County Memorial HospitalLamarMO0$396.09$126.35

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.