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Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$75.22
Median
$98.95
Max
$98.95
Range multiplier
1.3×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $19.11 | $100.87 | $149.23 | 7.8× |
| UnitedHealthcare | 2 | 7 | $52.85 | $95.34 | $260.67 | 4.9× |
| Blue Cross Blue Shield | 2 | 6 | $59.39 | $86.33 | $98.95 | 1.7× |
| Aetna | 2 | 4 | $61.17 | $107.20 | $129.10 | 2.1× |
| Cigna | 2 | 4 | $29.25 | $79.77 | $134.23 | 4.6× |
| VA Health | 2 | 2 | $59.39 | $75.97 | $92.56 | 1.6× |
| amerihealth negotiated charge | 2 | 2 | $71.69 | $76.84 | $81.98 | 1.1× |
| hscsn negotiated charge | 2 | 2 | $126.43 | $174.82 | $223.22 | 1.8× |
| Multiplan | 2 | 2 | $143.28 | $190.69 | $238.10 | 1.7× |
| pfc negotiated charge | 2 | 2 | $109.57 | $151.51 | $193.45 | 1.8× |
| TRICARE | 2 | 2 | $126.43 | $174.82 | $223.22 | 1.8× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $71.69 | $76.84 | $81.98 | 1.1× |
| medstar family choice maryland negotiated charge | 2 | 2 | $85.63 | $89.06 | $92.48 | 1.1× |
| magellan behavioral health negotiated charge** | 1 | 1 | $24.30 | $24.30 | $24.30 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $267.86 | $267.86 | $267.86 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $109.57 | $109.57 | $109.57 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| National Rehabilitation Hospital | Washington | DC | 14 | — | — | $19.11 | $98.95 | $143.28 |
| Washington Hospital Center | Washington | DC | 15 | — | — | $24.30 | $75.22 | $267.86 |
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.