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Office visit, established patient, 30-39 minutes
CPT 99214 · negotiated-rate distribution across hospitals in MN
Hospitals
30
Min
$97.46
Median
$335.12
Max
$395.55
Range multiplier
4.1×
By payer (34 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| america's ppo | 11 | 575 | $283.74 | $377.72 | $527.16 | 1.9× |
| sanford health plan | 12 | 212 | $87.40 | $320.77 | $350.55 | 4.0× |
| Multiplan | 12 | 207 | $79.80 | $462.91 | $487.05 | 6.1× |
| security health plan | 11 | 206 | $89.62 | $408.45 | $418.29 | 4.7× |
| First Health | 15 | 201 | $164.00 | $446.57 | $469.86 | 2.9× |
| wisconsin physician services | 11 | 195 | $419.40 | $490.14 | $515.70 | 1.2× |
| private healthcare systems | 11 | 195 | $396.10 | $462.91 | $487.05 | 1.2× |
| ucare | 12 | 175 | $34.78 | $273.50 | $324.72 | 9.3× |
| medica | 12 | 152 | $31.88 | $371.10 | $431.93 | 13.5× |
| health partners | 12 | 145 | $30.36 | $364.52 | $1,091.15 | 35.9× |
| Blue Cross Blue Shield | 18 | 134 | $27.60 | $182.41 | $1,706.27 | 61.8× |
| UnitedHealthcare | 18 | 123 | $63.08 | $269.37 | $411.68 | 6.5× |
| optum | 4 | 36 | $71.50 | $312.40 | $339.95 | 4.8× |
| Humana | 4 | 28 | $33.12 | $338.09 | $358.22 | 10.8× |
| Aetna | 2 | 23 | $97.70 | $354.86 | $374.75 | 3.8× |
| Cigna | 1 | 22 | $260.96 | $292.28 | $308.62 | 1.2× |
| interlink | 1 | 22 | $349.50 | $391.44 | $413.33 | 1.2× |
| itasca medical care | 11 | 22 | $66.97 | $78.30 | $89.62 | 1.3× |
| emerging therapies | 1 | 22 | $298.24 | $334.03 | $352.71 | 1.2× |
| primewest | 11 | 22 | $66.97 | $78.30 | $89.62 | 1.3× |
| Medicaid | 6 | 18 | $3.79 | $102.40 | $317.85 | 83.9× |
| south country health alliance | 9 | 18 | $66.97 | $78.30 | $89.62 | 1.3× |
| commercial | sanford health plan | all plans | 2 | 13 | $72.20 | $290.70 | $471.20 | 6.5× |
| WellCare | 11 | 11 | $89.62 | $89.62 | $89.62 | 1.0× |
| hennepin health | 9 | 10 | $75.68 | $75.68 | $75.68 | 1.0× |
| Medicare | 6 | 9 | $93.36 | $97.46 | $112.07 | 1.2× |
| commercial | health partners | all plans | 2 | 8 | $66.73 | $283.60 | $435.49 | 6.5× |
| commercial | medica | all plans | 2 | 6 | $66.20 | $187.69 | $303.11 | 4.6× |
| hp | 1 | 4 | $76.00 | $255.00 | $304.00 | 4.0× |
| healthpartners [900713] | 4 | 4 | $202.40 | $288.68 | $492.09 | 2.4× |
| commercial | preferred one | ppo | 1 | 3 | $213.90 | $284.58 | $461.28 | 2.2× |
| medica [900156] | 3 | 3 | $210.63 | $222.02 | $525.13 | 2.5× |
| commercial | preferred one | all other plans | 1 | 1 | $129.87 | $129.87 | $129.87 | 1.0× |
| blue plus | 1 | 1 | $392.74 | $392.74 | $392.74 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Lakeview Memorial | Stillwater | MN | 6 | $205.00 | $75.85 | $3.79 | $97.46 | $492.09 |
| Healtheast St Josephs Hospital | St Paul | MN | 17 | $551.10 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| M Health Fairview Bethesda Hospital | St Paul | MN | 17 | $551.10 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| Fairview Ridges Hospital | Burnsville | MN | 17 | $551.10 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| Healtheast St Johns Hospital | Maplewood | MN | 17 | $551.10 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| Healtheast Woodwinds Hospital | Woodbury | MN | 17 | $551.10 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| Fairview Lakes Regional Medical Ctr | Wyoming | MN | 17 | $551.10 | $327.93 | $66.97 | $392.63 | $1,091.15 |
| Fairview Northland Reg | Princeton | MN | 18 | $551.10 | $327.93 | $66.97 | $392.51 | $1,091.15 |
| Fairview Southdale Hospital | Edina | MN | 18 | $551.10 | $327.93 | $66.97 | $392.25 | $1,091.15 |
| University Of Minnesota Medical Ctr | Minneapolis | MN | 23 | $551.10 | $327.93 | $66.97 | $357.01 | $1,091.15 |
| Range Regional Health Services | Hibbing | MN | 16 | $571.13 | $242.74 | $66.97 | $335.12 | $1,706.27 |
| Grand Itasca Clinic And Hospital | Grand Rapids | MN | 15 | $573.00 | $243.53 | $66.97 | $308.26 | $1,044.10 |
| St. Josephs Area Health Services | Park Rapids | MN | 9 | $496.00 | $307.03 | $51.27 | $268.67 | $471.20 |
| Community Memorial Hospital | Cloquet | MN | 1 | $304.00 | $203.68 | $76.00 | $255.00 | $304.00 |
| Hutchinson Health Care | Hutchinson | MN | 7 | $458.00 | $210.68 | $93.36 | $196.69 | $412.20 |
| Johnson Memorial Hospital | Dawson | MN | 6 | $355.40 | $302.09 | $97.70 | $182.24 | $392.74 |
| Regions Hospital | St Paul | MN | 7 | $338.00 | $87.88 | $60.48 | $164.00 | $525.13 |
| St. Gabriels Hospital | Little Falls | MN | 13 | $379.00 | $214.02 | $27.60 | $118.43 | $360.05 |
| Olivia Hospital And Clinics | Olivia | MN | 7 | $232.00 | $141.52 | $40.41 | $111.55 | $225.20 |
| St. Francis Regional Medical Center | Shakopee | MN | 0 | $238.30 | $133.45 | — | — | — |
| Buffalo Hospital | Buffalo | MN | 0 | $238.30 | $133.45 | — | — | — |
| Allina Health Faribault Medical Ctr | Faribault | MN | 0 | $427.60 | $205.25 | — | — | — |
| Owatonna Hospital | Owatonna | MN | 0 | $238.30 | $133.45 | — | — | — |
| Regina Hospital | Hastings | MN | 0 | $427.60 | $205.25 | — | — | — |
| New Ulm Medical Center | New Ulm | MN | 0 | $238.30 | $133.45 | — | — | — |
| Abbott Northwestern Hospital | Minneapolis | MN | 0 | $427.60 | $205.25 | — | — | — |
| Sanford Thief River Falls | Thief River Falls | MN | 0 | $238.30 | $133.45 | — | — | — |
| Mercy Hospital | Coon Rapids | MN | 0 | $427.60 | $205.25 | — | — | — |
| United Hospital | Saint Paul | MN | 0 | $427.60 | $205.25 | — | — | — |
| Cambridge Medical Center | Cambridge | MN | 0 | $238.30 | $133.45 | — | — | — |
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.