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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$142.88
Median
$144.45
Max
$144.45
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare630$73.41$128.63$183.922.5×
Aetna618$114.53$116.55$149.401.3×
Cigna612$142.88$151.99$162.001.1×
sentara health plan612$71.41$105.46$139.502.0×
gateway - tier 166$213.75$213.75$213.751.0×
gateway - tier 266$180.00$180.00$180.001.0×
gateway - tier 366$123.75$123.75$123.751.0×
Humana66$73.41$73.41$73.411.0×
vhn - ultra66$139.50$139.50$139.501.0×
Anthem BCBS66$70.08$70.08$70.081.0×
connecticare66$157.50$157.50$157.501.0×
First Health66$73.41$73.41$73.411.0×
vhn - link66$202.50$202.50$202.501.0×
vhn - plus66$173.25$173.25$173.251.0×
vhn - secondary payors66$213.75$213.75$213.751.0×
vhn66$180.00$180.00$180.001.0×
national provider network11$216.00$216.00$216.001.0×
integrated health plan11$191.25$191.25$191.251.0×
corvel11$63.40$63.40$63.401.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$225.00$78.75$70.08$144.45$213.75
Carilion Medical CenterRoanokeVA16$225.00$78.75$70.08$144.45$213.75
Carilion New River Valley Med CenterChristiansburgVA16$225.00$78.75$70.08$144.45$213.75
Carilion Franklin Memorial HospitalRocky MountVA16$225.00$78.75$70.08$144.45$213.75
Carilion Giles Community HospitalPearisburgVA16$225.00$78.75$70.08$144.45$213.75
Carilion Tazewell Community HospitalTazewellVA19$225.00$78.75$63.40$142.88$216.00
Childrens Hospital Of The Kings DaNorfolkVA0$300.00$270.00
Lynn House Of Potomac Valley Inc.AlexandriaVA0$290.00$145.00
Bon Secours Depaul Medical CenterNorfolkVA0$393.00$255.45

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.