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CPT 99213 · negotiated-rate distribution across hospitals in OH

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Hospitals
27
Min
$45.56
Median
$113.40
Max
$229.50
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17154$30.00$113.40$292.629.8×
Anthem BCBS18124$13.94$105.14$333.5223.9×
Aetna20113$14.22$103.95$293.3620.6×
ohio health choice1894$28.70$137.70$332.1011.6×
UnitedHealthcare2089$14.22$88.45$361.3025.4×
Cigna1886$25.75$92.40$300.6011.7×
healthsmart1756$22.55$105.30$243.0010.8×
First Health1954$31.98$134.46$313.659.8×
the health plan1850$13.94$107.09$258.3018.5×
ohio preferred network1648$30.75$136.35$332.1010.8×
Multiplan1746$124.69$145.80$332.102.7×
summacare1645$13.94$82.62$269.3719.3×
fortified provider network1542$135.00$145.80$332.102.5×
amish aid community plan1542$69.00$74.52$184.502.7×
amish church fund and workers aid plan1542$69.00$74.52$184.502.7×
beech street1542$120.00$145.80$332.102.8×
private healthcare system1542$129.00$139.32$317.342.5×
buckeye plain ministries1542$69.00$74.52$184.502.7×
century health network1542$127.50$137.70$313.652.5×
christian healthcare ministries1542$75.00$81.00$184.502.5×
clarity1542$72.00$77.76$258.303.6×
immergrun1542$75.00$81.00$221.403.0×
configurenet1542$135.00$145.80$332.102.5×
Medicare232$34.65$56.88$241.187.0×
medical mutual traditional/health ohio1132$105.00$115.50$258.302.5×
Humana2031$14.08$114.31$124.698.9×
aultcare1628$13.94$31.00$243.5417.5×
Molina1825$13.94$119.47$202.6214.5×
CareSource1623$14.22$205.76$215.0415.1×
sunrise plain communities722$81.00$82.50$184.502.3×
sunrise plan communities820$75.00$81.00$81.001.1×
Ambetter1520$54.00$215.04$215.044.0×
jp farley1418$42.00$42.00$243.005.8×
perennial advantage of ohio1517$31.50$125.44$125.444.0×
WellCare1517$30.00$119.47$119.474.0×
valor health plans1517$31.50$125.44$125.444.0×
transplants-case rates [5750]117$26.95$34.65$241.188.9×
primetime health plan1517$30.00$119.47$119.474.0×
paramount1517$30.90$123.05$123.054.0×
health ohio network416$95.70$162.29$247.232.6×
enterprise group planning416$92.40$161.07$258.302.8×
devoted health1415$30.00$119.47$119.474.0×
medical mutual19$13.94$45.56$97.827.0×
Medicaid29$41.96$54.08$77.001.8×
Blue Cross Blue Shield26$75.46$130.16$133.491.8×
commercial-contracted [8000]15$47.24$57.75$77.001.6×
priority health14$72.88$86.26$154.002.1×
ohio ppo connect24$91.88$91.88$91.881.0×
mclaren commercial ins13$43.00$49.31$80.611.9×
buckeye13$14.22$23.59$46.483.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Uh Conneaut Medical CenterConneautOH37$153.00$114.75$26.78$97.50$153.00
Uh Geneva Medical CenterGenevaOH36$153.00$114.75$26.78$97.50$153.00
Fayette County Memorial HospWashington Court HouseOH18$131.25$65.63$44.63$87.02$148.31
St. Lukes HospitalMaumeeOH13$291.00$145.50$41.96$67.91$237.63
Adams County Regional Medical CenterSeamanOH9$77.00$46.20$26.95$57.75$241.18
Twin City HospitalDennisonOH16$134.00$66.47$13.94$45.56$121.94
Uh Samaritan Medical CenterAshlandOH37$270.00$202.50$95.58$229.50$267.57
Rainbow Babies & Childrens HospitalClevelandOH40$369.00$276.75$42.94$148.50$332.10
Uh Cleveland Medical CenterClevelandOH39$369.00$276.75$26.78$141.90$332.10
University Hospitals Rehab HospitalBeachwoodOH39$369.00$276.75$26.78$141.90$332.10
University Hospitals Avon Rehab HospAvonOH39$369.00$276.75$26.78$141.90$332.10
Lake Hospital SystemConcordOH35$162.00$121.50$31.00$121.26$361.30
Uh Parma Medical CenterParmaOH37$162.00$121.50$31.00$119.47$215.04
Uh Portage Medical CenterRavennaOH37$162.00$121.50$31.00$119.47$215.04
Uh Elyria Medical CenterElyriaOH37$162.00$121.50$31.00$113.40$215.04
Uh St. John Medical CenterWestlakeOH37$162.00$121.50$31.00$113.40$215.04
Uh Ahuja Medical CenterBeachwoodOH37$162.00$121.50$25.75$112.11$215.04
Adena Regional Medical CenterChillicotheOH21$131.25$65.63$46.99$111.56$337.70
Uh Regional HospitalsRichmond HeightsOH36$162.00$121.50$26.78$110.16$215.04
Uh Geauga Medical CenterChardonOH36$162.00$121.50$26.78$110.16$215.04
Wilson Memorial HospitalSidneyOH0$428.40$214.20
Trumbull Memorial HospitalWarrenOH0$150.00$120.00
Henry County Hospital (Cah)NapoleonOH0$140.00$105.00
Harrison Community HospitalCadizOH0$169.00$84.50
Barnesville HospitalBarnesvilleOH0$210.00$105.00
Wayne Hospital CompanyGreenvilleOH0$288.00$216.00
Summa Rehab HospitalAkronOH0$199.00

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.