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Office visit, established patient, 20-29 minutes

CPT 99213 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$65.13
Median
$69.11
Max
$160.19
Range multiplier
2.5×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield242$55.34$151.87$247.104.5×
UnitedHealthcare320$23.91$128.02$293.4012.3×
Aetna317$45.38$74.83$293.406.5×
Humana215$50.48$69.11$177.303.5×
Molina214$25.16$110.48$195.247.8×
Kaiser Permanente212$51.96$115.07$293.405.6×
Medicare Advantage112$53.21$63.09$178.753.4×
Ambetter18$54.43$175.58$238.414.4×
ameriben [8000]17$61.24$204.30$293.404.8×
mutual of omaha [8007]17$61.24$204.30$293.404.8×
pacific source [8008]17$61.24$204.30$293.404.8×
pacific source administrators [8010]17$61.24$204.30$293.404.8×
Multiplan27$50.28$72.67$217.924.3×
first choice [8009]17$61.24$204.30$293.404.8×
first choice generic [8999]17$61.24$204.30$293.404.8×
First Health17$61.24$204.30$293.404.8×
wellpoint [6009]17$26.54$88.53$127.144.8×
mega life [8005]17$61.24$204.30$293.404.8×
mid west natl life [8006]17$61.24$204.30$293.404.8×
Cigna17$61.24$204.30$293.404.8×
asuris truadvantage [4011]16$53.21$63.09$178.753.4×
chp advantage [4001]16$61.02$72.35$204.993.4×
community health network of wa [1055]16$90.30$107.08$180.602.0×
chpw [130116]15$84.16$110.58$173.472.1×
mva state farm [1028]15$65.32$217.92$312.964.8×
mva progressive [1027]15$65.32$217.92$312.964.8×
allied benefit systems llc [110104]14$45.38$58.50$74.831.6×
Medicare13$69.11$69.11$72.571.1×
bh managed health network [130106]13$36.00$36.00$36.001.0×
bh mnh [130108]13$36.00$36.00$36.001.0×
chp [6000]13$25.99$36.64$51.982.0×
coordinated care [6007]13$25.89$36.49$51.772.0×
GEHA13$61.24$198.90$204.303.3×
mva farmers [1026]13$65.32$212.16$217.923.3×
the health plan12$65.14$65.14$65.141.0×
the health plan hmo12$62.16$126.42$190.683.1×
umr12$58.46$118.90$179.333.1×
chpw med advantage [210102]11$69.11$69.11$69.111.0×
bh optum health medadvantage [210117]11$69.11$69.11$69.111.0×
wellpoint medadvantage [210115]11$69.11$69.11$69.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley Medical CenterRentonWA15$346.00$242.20$36.00$69.11$184.31
East Adams Rural HospitalRitzvilleWA5$227.00$136.20$56.25$65.13$199.76
Wenatchee Valley HospitalWenatcheeWA29$326.00$293.40$23.91$160.19$312.96

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.