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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$46.61
Median
$46.61
Max
$102.3
Range multiplier
2.2×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna568$49.52$99$1723.5×
UnitedHealthcare550$33.43$95.32$2377.1×
Aetna1236$43.2$46.61$96.252.2×
Blue Cross Blue Shield531$22.68$66.96$139.56.2×
Ambetter410$64.8$99$1352.1×
medsave usa39$86.4$132$1802.1×
galaxy health network39$97.2$148.5$202.52.1×
initial group39$95.04$145.2$1982.1×
usa managed care organization39$75.6$115.5$157.52.1×
direct care america39$86.4$132$1802.1×
ehn39$48.6$74.25$101.252.1×
ccn managed care39$91.8$140.25$191.252.1×
community services network39$70.2$107.25$146.252.1×
national provider network39$86.4$132$1802.1×
novanet39$81$123.75$168.752.1×
beech street39$91.8$140.25$191.252.1×
correctional medical services39$64.8$99$1352.1×
community plan44$36.06$36.06$36.061.0×
Medicare24$60.33$60.33$60.781.0×
Medicaid14$49.54$54.64$54.641.1×
Molina12$54.64$61.47$68.31.3×
Humana22$60.33$60.56$60.781.0×
WellCare11$60.78$60.78$60.781.0×
american health advantage mcr adv [450117]11$60.33$60.33$60.331.0×
amerigroup11$53.18$53.18$53.181.0×
amerivantage11$53.18$53.18$53.181.0×
blue11$60.78$60.78$60.781.0×
bluecare11$31.57$31.57$31.571.0×
carecentrix [450200]11$60.33$60.33$60.331.0×
corecivic11$66.86$66.86$66.861.0×
corizon11$39.75$39.75$39.751.0×
devoted health [450111]11$60.33$60.33$60.331.0×
farm bureau11$62$62$621.0×
generic hospice vbid [10940000101]11$60.33$60.33$60.331.0×
Medicare Advantage11$60.33$60.33$60.331.0×
naphcare11$91.17$91.17$91.171.0×
provider network of america11$103.33$103.33$103.331.0×
tenncare11$31.57$31.57$31.571.0×
transplant optum tenncare [350013]11$34.48$34.48$34.481.0×
upmc11$60.78$60.78$60.781.0×
va hospital [600005]11$60.33$60.33$60.331.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
METRO NASHVILLE GENERAL HOSPITALNASHVILLETN19$175$105$31.57$60.78$113.49
METHODIST H/C MEMPHIS HOSPT.MEMPHISTN14$281$61.82$34.48$60.33$135.16
ST THOMAS HICKMAN HOSPITALCENTERVILLETN1$46.61$46.61$49.51
SAINT THOMAS RUTHERFORD HOSPITALMURFREESBOROTN1$46.61$46.61$49.51
SAINT THOMAS WEST HOSPITALNASHVILLETN1$46.61$46.61$49.51
SAINT THOMAS MIDTOWN HOSPITALNASHVILLETN1$46.61$46.61$46.61
ST THOMAS DEKALB HOSPITALSMITHVILLETN2$36.06$46.61$49.51
SAINT THOMAS HIGHLAND HOSPITALSPARTATN2$36.06$46.61$49.51
ASCENSION ST THOMAS RIVER PARKMCMINNVILLETN2$36.06$46.61$49.51
SAINT THOMAS STONES RIVER HOSPITALWOODBURYTN2$36.06$46.61$49.51
MORRISTOWN-HAMBLEN HOSPITALMORRISTOWNTN17$225$69.75$22.68$102.3$237
ROANE COUNTY MEDICAL CENTERHARRIMANTN17$225$69.75$22.68$102.3$237
FORT LOUDOUN MEDICAL CENTERLENOIR CITYTN17$225$72$22.68$102.3$237
BIG SOUTH FORK MEDICAL CENTERONEIDATN0$54$16.2
ST THOMAS ASCENSIONNASHVILLETN0$995.17$245.81

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.