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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in TN

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Hospitals
15
Min
$71.66
Median
$71.66
Max
$125.00
Range multiplier
1.7×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Cigna568$62.22$124.20$172.002.8×
UnitedHealthcare550$44.87$114.25$237.005.3×
Aetna1237$48.80$71.66$107.252.2×
Blue Cross Blue Shield531$25.62$88.80$161.456.3×
Ambetter410$73.20$124.20$150.002.0×
medsave usa39$97.60$165.60$200.002.0×
galaxy health network39$109.80$186.30$225.002.0×
initial group39$107.36$182.16$220.002.0×
usa managed care organization39$85.40$144.90$175.002.0×
direct care america39$97.60$165.60$200.002.0×
ehn39$54.90$93.15$112.502.0×
ccn managed care39$103.70$175.95$212.502.0×
community services network39$79.30$134.55$162.502.0×
national provider network39$97.60$165.60$200.002.0×
novanet39$91.50$155.25$187.502.0×
beech street39$103.70$175.95$212.502.0×
correctional medical services39$73.20$124.20$150.002.0×
community plan44$47.56$47.56$47.561.0×
Medicare24$88.80$88.80$89.711.0×
Medicaid14$76.00$80.59$80.591.1×
Molina12$80.59$90.67$100.741.3×
Humana22$88.80$89.26$89.711.0×
WellCare11$89.71$89.71$89.711.0×
american health advantage mcr adv [450117]11$88.80$88.80$88.801.0×
amerigroup11$78.50$78.50$78.501.0×
amerivantage11$78.50$78.50$78.501.0×
blue11$89.71$89.71$89.711.0×
bluecare11$40.52$40.52$40.521.0×
carecentrix [450200]11$88.80$88.80$88.801.0×
corecivic11$98.68$98.68$98.681.0×
corizon11$58.67$58.67$58.671.0×
devoted health [450111]11$88.80$88.80$88.801.0×
farm bureau11$91.50$91.50$91.501.0×
generic hospice vbid [10940000101]11$88.80$88.80$88.801.0×
Medicare Advantage11$88.80$88.80$88.801.0×
naphcare11$134.57$134.57$134.571.0×
provider network of america11$152.51$152.51$152.511.0×
tenncare11$40.52$40.52$40.521.0×
transplant optum tenncare [350013]11$44.87$44.87$44.871.0×
upmc11$89.71$89.71$89.711.0×
va hospital [600005]11$88.80$88.80$88.801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Metro Nashville General HospitalNashvilleTN19$195.00$117.00$40.52$89.71$161.45
Methodist H/C Memphis Hospt.MemphisTN14$339.00$74.58$44.87$88.80$163.06
St Thomas Hickman HospitalCentervilleTN1$71.66$71.66$75.95
Saint Thomas Rutherford HospitalMurfreesboroTN1$71.66$71.66$75.95
Saint Thomas West HospitalNashvilleTN1$71.66$71.66$75.95
Saint Thomas Midtown HospitalNashvilleTN1$71.66$71.66$71.66
St Thomas Dekalb HospitalSmithvilleTN2$47.56$71.66$75.95
Saint Thomas Highland HospitalSpartaTN2$47.56$71.66$75.95
Ascension St Thomas River ParkMcminnvilleTN2$47.56$71.66$75.95
Saint Thomas Stones River HospitalWoodburyTN2$47.56$71.66$75.95
Morristown-Hamblen HospitalMorristownTN17$250.00$77.50$25.62$125.00$237.00
Roane County Medical CenterHarrimanTN17$250.00$77.50$25.62$125.00$237.00
Fort Loudoun Medical CenterLenoir CityTN17$250.00$80.00$25.62$125.00$237.00
Big South Fork Medical CenterOneidaTN0$62.00$18.60
St Thomas AscensionNashvilleTN0$1,271.07$313.95

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.