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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$93.00
Median
$137.30
Max
$217.80
Range multiplier
2.3×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1784$41.71$137.30$450.3010.8×
UnitedHealthcare1978$33.95$176.73$464.5213.7×
medica461$33.95$330.33$455.0413.4×
Aetna1647$78.00$152.79$441.915.7×
midlands choice429$93.12$348.48$455.044.9×
millard public schools224$93.12$348.48$455.044.9×
greater omaha packing224$93.12$348.48$455.044.9×
one world224$93.12$348.48$455.044.9×
Humana1620$33.95$93.27$203.826.0×
Cigna1618$100.00$184.05$452.614.5×
phcs316$95.06$274.25$464.524.9×
quiktrip316$93.12$251.34$455.044.9×
Multiplan316$95.06$287.10$464.524.9×
health partners open network1414$129.20$129.20$129.201.0×
amerigroup212$35.65$159.22$214.026.0×
timpte212$93.12$348.48$455.044.9×
Centene311$26.55$129.60$207.907.8×
Molina1111$74.00$90.61$90.611.2×
amerivantage1111$88.83$93.27$93.271.0×
bc illinois community28$195.76$268.95$322.191.6×
amps26$75.37$314.29$452.496.0×
great plains26$35.65$148.66$214.026.0×
pace26$33.95$141.57$203.826.0×
iamolina26$43.38$162.34$211.984.9×
healthpartners14$74.00$247.13$401.255.4×
Anthem BCBS14$66.00$270.88$454.756.9×
common ground13$65.00$65.00$65.001.0×
total care13$42.55$159.22$207.904.9×
wisconsin physician service13$90.00$95.00$95.001.1×
meridian health plan22$93.27$93.27$93.271.0×
elap12$49.56$60.76$71.961.5×
Ambetter22$88.83$88.83$88.831.0×
health eos plus12$321.00$321.00$321.001.0×
health eos12$428.00$428.00$428.001.0×
health alliance22$88.83$88.83$88.831.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
hs technology11$90.00$90.00$90.001.0×
health payment systems11$115.00$115.00$115.001.0×
iowa health11$93.27$93.27$93.271.0×
medical associates health plan11$155.45$155.45$155.451.0×
meridian11$93.27$93.27$93.271.0×
health partners11$119.92$119.92$119.921.0×
everpointe elite11$75.00$75.00$75.001.0×
dean health plan11$220.80$220.80$220.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$535.00$267.50$65.00$93.00$454.75
Chi Health Mercy CorningCorningIA18$474.00$227.52$41.71$217.80$464.52
Chi Health - Missouri ValleyMissouri ValleyIA19$474.00$232.26$33.95$209.94$464.52
The Finley HospitalDubuqueIA12$240.00$192.00$88.83$145.05$322.19
Chi Health Mercy Council BluffsCouncil BluffsIA8$257.00$107.94$26.55$142.05$246.43
Iowa Methodist Medical CenterDes MoinesIA8$240.00$192.00$88.83$137.30$184.05
Allen Memorial HospitalWaterlooIA8$240.00$192.00$88.83$137.30$184.05
Unitypoint Health-MarshalltownMarshalltownIA8$240.00$192.00$88.83$137.30$184.05
Trinity MuscatineMuscatineIA10$240.00$192.00$88.83$137.30$322.19
Trinity Regional Medical CenterFort DodgeIA6$240.00$192.00$88.83$137.30$184.05
Iowa Lutheran HospitalDes MoinesIA8$240.00$192.00$88.83$137.30$184.05
St. Lukes Methodist HospitalCedar RapidsIA8$240.00$192.00$88.83$137.30$184.05
St. Lukes Regl Medical CenterSioux CityIA8$240.00$192.00$88.83$137.30$184.05
Grinnell Regional Medical CenterGrinnellIA8$240.00$192.00$88.83$137.30$184.05
Grundy County Mem. HospitalGrundy CenterIA8$240.00$192.00$88.83$137.30$184.05
Jones Regional Medical CtrAnamosaIA8$240.00$192.00$88.83$137.30$184.05
Community Mem. Hospt. SummerSumnerIA8$240.00$192.00$88.83$137.30$184.05
Trinity BettendorfBettendorfIA9$240.00$192.00$88.83$133.25$184.05
Broadlawns Medical CenterDes MoinesIA7$246.00$246.00$101.20$119.92$246.00
Mitchell County Regional Health CentOsageIA0$369.15$332.24
Greene County Medical CenterJeffersonIA0$321.00$179.76
Stewart Memorial HospitalLake CityIA0$409.00$327.00
Spencer Municipal HospitalSpencerIA0$225.80$169.35
Story County HospitalNevadaIA0$503.00$402.40
Peoples Memorial HospitalIndependenceIA0$542.83$461.40
Mercy Hospital Iowa CityIowa CityIA0$429.00$205.92
Regional Health Services Of Howard CCrescoIA0$613.00
Loring HospitalSac CityIA0$319.00$255.20

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.