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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in MS

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Hospitals
11
Min
$60.24
Median
$92.64
Max
$175.6
Range multiplier
2.9×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare429$34.48$78.2$148.244.3×
Medicare223$44.17$61.61$148.53.4×
Medicaid223$29.93$54.64$92.113.1×
Blue Cross Blue Shield316$43.02$69.42$109.262.5×
Cigna313$60.33$71.64$196.23.3×
Aetna310$47.82$68.98$185.33.9×
excellus 220118$53.89$72.98$97.531.8×
independent health 515617$58.23$80.57$148.52.6×
Humana47$46.43$60.24$117.722.5×
First Health14$176.8$186.25$196.21.1×
healthcare highways14$91.52$115.56$141.71.5×
osma health12$187.2$191.7$196.21.0×
preferred community choice12$191.36$195.96$200.561.0×
medica12$87.36$89.46$91.561.0×
capital district physicians health plan (cdphp) 514912$162.06$191.74$221.411.4×
healthsmart12$195.52$200.22$204.921.0×
friday health plan12$104$106.5$1091.0×
Molina22$68.3$80.47$92.641.4×
fidelis 515512$85.59$102.01$118.421.4×
oklahoma health network (ohn)12$166.4$170.4$174.41.0×
upmc health plan 513811$56.01$56.01$56.011.0×
va hospital [600005]11$60.24$60.24$60.241.0×
Empire BCBS11$56.01$56.01$56.011.0×
generic hospice vbid [10940000101]11$60.24$60.24$60.241.0×
WellCare11$92.64$92.64$92.641.0×
devoted health [450111]11$60.24$60.24$60.241.0×
carecentrix [450200]11$60.24$60.24$60.241.0×
Medicare Advantage11$60.24$60.24$60.241.0×
meridian11$107.47$107.47$107.471.0×
mvp 290011$132.18$132.18$132.181.0×
total senior care 131911$56.01$56.01$56.011.0×
transplant optum tenncare [350013]11$34.48$34.48$34.481.0×
american health advantage mcr adv [450117]11$60.24$60.24$60.241.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MISSISSIPPI METHODIST REHAB CENTERJACKSONMS7$46.43$92.64$107.47
MONTFORT JONES MEMORIAL HOSPITALKOSCIUSKOMS15$453$226$29.93$64.67$221.41
METHODIST H/C OLIVE BRANCH HOSPITALOLIVE BRANCHMS14$281$61.82$34.48$60.24$135.16
JEFFERSON COUNTY HOSPITALFAYETTEMS12$218$76.51$87.36$175.6$204.92
LAIRD HOSPITALUNIONMS0$256$156.16
SCOTT REGIONAL HOSPITALMORTONMS0$256$161.28
DELTA HEALTH-NORTHWEST REGIONALCLARKSDALEMS0$40$20
JOHN C. STENNIS MEMORIAL HOSPITALDEKALBMS0$256$176.64
DELTA HEALTH-THE MEDICAL CENTERGREENVILLEMS0$40$20
MARION GENERAL HOSPITALCOLUMBIAMS0$129$77.4
H.C. WATKINS MEMORIAL HOSPITALQUITMANMS0$256$171.52

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.