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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in MO

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Hospitals
10
Min
$65.79
Median
$520.9
Max
$752.58
Range multiplier
11.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare312$308.38$520.9$9092.9×
Anthem BCBS29$520.9$520.9$752.581.4×
Aetna47$65.79$520.9$752.5811.4×
Humana36$308.38$417.73$752.582.4×
Cigna25$520.9$520.9$752.581.4×
Blue Cross Blue Shield35$65.79$559.72$752.5811.4×
Medicaid23$520.9$752.58$752.581.4×
Ambetter33$520.9$524.25$752.581.4×
medica22$520.9$636.74$752.581.4×
WellCare22$520.9$636.74$752.581.4×
Medicare12$308.38$311.47$314.551.0×
essence22$520.9$636.74$752.581.4×
Workers Comp12$308.38$608.69$9092.9×
Meritain Health12$520.9$520.9$520.91.0×
healthlink hmo22$520.9$636.74$752.581.4×
healthlink ppo22$520.9$636.74$752.581.4×
6 degrees health [503999050]12$601.35$686.16$770.961.3×
Multiplan22$752.58$792.61$832.641.1×
TRICARE22$308.38$414.64$520.91.7×
centivo [5032000982]12$585.93$585.93$585.931.0×
devoted [503200068]11$308.38$308.38$308.381.0×
devoted health11$520.9$520.9$520.91.0×
devoted healthcare11$752.58$752.58$752.581.0×
diversified plastics11$752.58$752.58$752.581.0×
dora school district (smbc)11$752.58$752.58$752.581.0×
easter seals midwest11$752.58$752.58$752.581.0×
Empire BCBS11$752.58$752.58$752.581.0×
employers benefit alliance11$752.58$752.58$752.581.0×
evolutions11$752.58$752.58$752.581.0×
fabick cat11$752.58$752.58$752.581.0×
fair grove school district (smbc)11$752.58$752.58$752.581.0×
First Health11$549.38$549.38$549.381.0×
fort hays state student athletes [5032000960]11$647.61$647.61$647.611.0×
GEHA11$909$909$9091.0×
Health Net11$752.58$752.58$752.581.0×
health systems, inc.11$752.58$752.58$752.581.0×
healthlink workcomp11$639.69$639.69$639.691.0×
healthy blue (missouri care)11$520.9$520.9$520.91.0×
heart of america (tri state healthcare coalition – med pay)11$752.58$752.58$752.581.0×
hickory county skyline school district (smbc)11$752.58$752.58$752.581.0×
home state health plan, inc.11$752.58$752.58$752.581.0×
homestate health plan11$520.9$520.9$520.91.0×
j and m farms, inc. (tri-state healthcare coalition)11$752.58$752.58$752.581.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$752.58$752.58$752.581.0×
ku athletics [503200094]11$308.38$308.38$308.381.0×
laclede county school district conway (smbc)11$752.58$752.58$752.581.0×
lasso healthcare [503999926]11$308.38$308.38$308.381.0×
lebanon school district (smbc)11$752.58$752.58$752.581.0×
marshfield school district (smbc)11$752.58$752.58$752.581.0×
medica [503200074]11$909$909$9091.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY REHABILITATION HOSPITAL-SPGFSPRINGFIELDMO70$752.58$752.58$451.55$752.58$752.58
RANKEN JORDANMARYLAND HEIGHTSMO3$301.4$301.4$65.79$65.79$65.79
MERCY HOSPITAL - ST. LOUISST. LOUISMO19$520.9$520.9$520.9$520.9$520.9
NORTH KANSAS CITY HOSPITALNORTH KANSAS CITYMO27$2,415.21$483.04$308.38$508.84$925.15
MISSOURI DELTA MEDICAL CENTERSIKESTONMO0$352.25$88.06
HARRISON COUNTY COMMUNITY HOSPITALBETHANYMO0$247$123.5
BARTON COUNTY MEMORIAL HOSPITALLAMARMO0$547.44$174.63
COX-MONETT HOSPITALMONETTMO0$547.44$166.97
COX MEDICAL CENTER BRANSONBRANSONMO0$547.44$124.27
COXHEALTHSPRINGFIELDMO0$742.18$187.03

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.