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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$78.47
Median
$176
Max
$609.16
Range multiplier
7.8×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna540$78.47$357$1,110.614.2×
Blue Cross Blue Shield638$36.14$214.25$2,80077.5×
Cigna435$1$533.8$1,077.291077.3×
UnitedHealthcare633$1$177.88$1,073.581073.6×
First Health315$182.4$596.6$1,172.36.4×
Medicaid114$1$78.67$624.66624.7×
Health Net112$68.27$691.61$1,196.9817.5×
WellCare46$36.24$78.98$230.646.4×
Humana56$68.27$175.75$252.963.7×
CareSource46$13.49$78.35$235.1217.4×
alliant health plan24$161$280$3081.9×
secure health op rate22$211$211$2111.0×
dodge cty op rate22$101.28$101.28$101.281.0×
amerigroup community care22$76.52$81.07$85.611.1×
phcs op rate22$388.24$388.24$388.241.0×
beech street op rate22$379.8$379.8$379.81.0×
alliant op rate22$211$211$2111.0×
evernorth behavioral health11$80.56$80.56$80.561.0×
arizona complete health11$68.27$68.27$68.271.0×
banner health11$68.27$68.27$68.271.0×
care 1st11$68.27$68.27$68.271.0×
acchs11$68.27$68.27$68.271.0×
health choice11$71.69$71.69$71.691.0×
mercy care11$71.69$71.69$71.691.0×
peach state health plan op rate11$71.99$71.99$71.991.0×
peach state hp op rate11$90.79$90.79$90.791.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$729$291.6$80.56$80.56$80.56
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA3$746.47$13.49$78.47$252.96
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$1,234$915.63$68.27$609.16$1,196.98
PERRY HOSPITALPERRYGA11$69.83$212.63$422
HOUSTON MEDICAL CENTERWARNER ROBINSGA12$88.13$211$422
CHATUGE REGIONAL HOSPITALHIWASSEEGA9$440$220$76.52$176$374
UNION GENERAL HOSPITALBLAIRSVILLEGA8$400$200$36.24$161.87$340
DODGE COUNTY HOSPITALEASTMANGA5$1,170.87$1$120.24$2,800
SOUTHWELL MEDICALADELGA0$826$413

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.