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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in OH

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Hospitals
27
Min
$51.21
Median
$119.47
Max
$255.00
Range multiplier
5.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
medical mutual of ohio17142$40.00$119.47$449.6311.2×
Anthem BCBS18118$22.10$119.27$368.5516.7×
Aetna20113$22.55$119.47$450.7720.0×
ohio health choice1890$45.50$168.30$510.3011.2×
UnitedHealthcare2088$22.55$113.16$398.0317.7×
Cigna1884$25.75$113.95$365.7214.2×
healthsmart1754$35.75$122.85$368.5510.3×
First Health1952$50.70$156.87$481.959.5×
the health plan1848$22.10$120.25$396.9018.0×
ohio preferred network1646$48.75$168.30$510.3010.5×
Medicare246$40.50$47.74$241.186.0×
Multiplan1744$156.61$170.10$510.303.3×
summacare1643$22.10$119.47$413.9118.7×
christian healthcare ministries1540$93.50$94.50$283.503.0×
amish aid community plan1540$86.94$92.75$283.503.3×
amish church fund and workers aid plan1540$86.94$92.75$283.503.3×
beech street1540$149.60$170.10$510.303.4×
buckeye plain ministries1540$86.94$92.75$283.503.3×
century health network1540$158.95$160.65$481.953.0×
clarity1540$90.72$100.36$396.904.4×
configurenet1540$168.30$170.10$510.303.0×
fortified provider network1540$168.30$170.10$510.303.0×
immergrun1540$93.50$94.50$340.203.6×
private healthcare system1540$160.82$162.54$487.623.0×
medical mutual traditional/health ohio1132$130.90$132.30$396.903.0×
aultcare1630$22.10$31.00$374.2216.9×
Humana2029$22.33$119.47$156.617.0×
sunrise plain communities724$93.50$121.50$283.503.0×
Molina1823$22.10$119.47$202.629.2×
transplants-case rates [5750]123$31.50$47.74$241.187.7×
CareSource1621$22.55$215.04$306.1813.6×
jp farley1420$42.00$42.00$340.208.1×
Ambetter1518$72.00$215.04$317.524.4×
enterprise group planning416$104.72$224.21$396.903.8×
sunrise plan communities816$94.50$94.50$100.001.1×
health ohio network416$108.46$227.08$379.893.5×
primetime health plan1515$40.00$119.47$119.473.0×
valor health plans1515$42.00$125.44$125.443.0×
WellCare1515$40.00$119.47$119.473.0×
paramount1515$41.20$123.05$123.053.0×
perennial advantage of ohio1515$42.00$125.44$125.443.0×
devoted health1414$40.00$119.47$119.473.0×
medical mutual19$22.10$53.72$115.345.2×
Medicaid29$52.00$61.77$90.001.7×
Blue Cross Blue Shield26$88.20$183.86$188.572.1×
commercial-contracted [8000]15$55.22$67.50$90.001.6×
ohio ppo connect24$115.40$115.40$115.401.0×
priority health14$84.67$104.81$191.042.3×
buckeye13$22.55$28.10$54.802.4×
mclaren commercial ins13$53.46$72.00$100.001.9×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Lukes HospitalMaumeeOH13$361.00$180.50$48.76$90.16$294.79
Twin City HospitalDennisonOH16$158.00$78.37$22.10$55.25$143.78
Adams County Regional Medical CenterSeamanOH9$90.00$54.00$31.50$51.21$241.18
Uh Samaritan Medical CenterAshlandOH37$300.00$225.00$105.14$255.00$297.30
Rainbow Babies & Childrens HospitalClevelandOH40$567.00$425.25$42.94$168.30$510.30
University Hospitals Avon Rehab HospAvonOH39$567.00$425.25$26.78$160.82$510.30
Uh Cleveland Medical CenterClevelandOH39$567.00$425.25$26.78$160.82$510.30
University Hospitals Rehab HospitalBeachwoodOH39$567.00$425.25$26.78$160.82$510.30
Adena Regional Medical CenterChillicotheOH21$164.85$82.43$59.02$123.22$337.70
Lake Hospital SystemConcordOH35$189.00$141.75$31.00$122.95$361.30
Uh Ahuja Medical CenterBeachwoodOH37$189.00$141.75$25.75$119.47$215.04
Uh Portage Medical CenterRavennaOH37$189.00$141.75$31.00$119.47$215.04
Uh Regional HospitalsRichmond HeightsOH36$189.00$141.75$26.78$119.47$215.04
Uh Parma Medical CenterParmaOH37$189.00$141.75$31.00$119.47$215.04
Uh St. John Medical CenterWestlakeOH37$189.00$141.75$31.00$119.47$215.04
Uh Elyria Medical CenterElyriaOH37$189.00$141.75$31.00$119.47$215.04
Uh Geauga Medical CenterChardonOH36$189.00$141.75$26.78$119.47$215.04
Uh Geneva Medical CenterGenevaOH36$200.00$150.00$26.78$112.00$200.00
Uh Conneaut Medical CenterConneautOH37$200.00$150.00$26.78$112.00$200.00
Fayette County Memorial HospWashington Court HouseOH18$164.85$82.43$56.05$109.30$186.28
Barnesville HospitalBarnesvilleOH0$247.00$123.50
Henry County Hospital (Cah)NapoleonOH0$165.00$123.75
Summa Rehab HospitalAkronOH0$308.00
Wayne Hospital CompanyGreenvilleOH0$403.00$302.25
Trumbull Memorial HospitalWarrenOH0$225.00$180.00
Harrison Community HospitalCadizOH0$247.00$123.50
Wilson Memorial HospitalSidneyOH0$598.50$299.25

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.