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Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in GA
Hospitals
9
Min
$78.47
Median
$176.00
Max
$609.16
Range multiplier
7.8×
By payer (26 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 5 | 40 | $78.47 | $357.00 | $1,110.60 | 14.2× |
| Blue Cross Blue Shield | 6 | 38 | $36.14 | $214.25 | $2,800.00 | 77.5× |
| Cigna | 4 | 35 | $1.00 | $533.80 | $1,077.29 | 1077.3× |
| UnitedHealthcare | 6 | 33 | $1.00 | $177.88 | $1,073.58 | 1073.6× |
| First Health | 3 | 15 | $182.40 | $596.60 | $1,172.30 | 6.4× |
| Medicaid | 1 | 14 | $1.00 | $78.67 | $624.66 | 624.7× |
| Health Net | 1 | 12 | $68.27 | $691.61 | $1,196.98 | 17.5× |
| WellCare | 4 | 6 | $36.24 | $78.98 | $230.64 | 6.4× |
| Humana | 5 | 6 | $68.27 | $175.75 | $252.96 | 3.7× |
| CareSource | 4 | 6 | $13.49 | $78.35 | $235.12 | 17.4× |
| alliant health plan | 2 | 4 | $161.00 | $280.00 | $308.00 | 1.9× |
| secure health op rate | 2 | 2 | $211.00 | $211.00 | $211.00 | 1.0× |
| dodge cty op rate | 2 | 2 | $101.28 | $101.28 | $101.28 | 1.0× |
| amerigroup community care | 2 | 2 | $76.52 | $81.07 | $85.61 | 1.1× |
| phcs op rate | 2 | 2 | $388.24 | $388.24 | $388.24 | 1.0× |
| beech street op rate | 2 | 2 | $379.80 | $379.80 | $379.80 | 1.0× |
| alliant op rate | 2 | 2 | $211.00 | $211.00 | $211.00 | 1.0× |
| evernorth behavioral health | 1 | 1 | $80.56 | $80.56 | $80.56 | 1.0× |
| arizona complete health | 1 | 1 | $68.27 | $68.27 | $68.27 | 1.0× |
| banner health | 1 | 1 | $68.27 | $68.27 | $68.27 | 1.0× |
| care 1st | 1 | 1 | $68.27 | $68.27 | $68.27 | 1.0× |
| acchs | 1 | 1 | $68.27 | $68.27 | $68.27 | 1.0× |
| health choice | 1 | 1 | $71.69 | $71.69 | $71.69 | 1.0× |
| mercy care | 1 | 1 | $71.69 | $71.69 | $71.69 | 1.0× |
| peach state health plan op rate | 1 | 1 | $71.99 | $71.99 | $71.99 | 1.0× |
| peach state hp op rate | 1 | 1 | $90.79 | $90.79 | $90.79 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Marys Sacred Heart Hospital | Lavonia | GA | 1 | $729.00 | $291.60 | $80.56 | $80.56 | $80.56 |
| Southern Regional Medical Center | Riverdale | GA | 3 | $746.47 | — | $13.49 | $78.47 | $252.96 |
| West Central Ga Regional Hospital | Columbus | GA | 13 | $1,234.00 | $915.63 | $68.27 | $609.16 | $1,196.98 |
| Perry Hospital | Perry | GA | 11 | — | — | $69.83 | $212.63 | $422.00 |
| Houston Medical Center | Warner Robins | GA | 12 | — | — | $88.13 | $211.00 | $422.00 |
| Chatuge Regional Hospital | Hiwassee | GA | 9 | $440.00 | $220.00 | $76.52 | $176.00 | $374.00 |
| Union General Hospital | Blairsville | GA | 8 | $400.00 | $200.00 | $36.24 | $161.87 | $340.00 |
| Dodge County Hospital | Eastman | GA | 5 | $1,170.87 | — | $1.00 | $120.24 | $2,800.00 |
| Southwell Medical | Adel | GA | 0 | $826.00 | $413.00 | — | — | — |
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.