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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in VA

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Hospitals
9
Min
$190.50
Median
$222.96
Max
$222.96
Range multiplier
1.2×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare646$103.42$216.18$318.793.1×
Aetna630$152.70$198.51$258.961.7×
Cigna620$190.50$216.00$280.801.5×
sentara health plan616$100.60$186.00$241.802.4×
gateway - tier 3610$165.00$165.00$214.501.3×
vhn - ultra610$186.00$186.00$241.801.3×
connecticare610$210.00$210.00$273.001.3×
gateway - tier 1610$285.00$285.00$370.501.3×
gateway - tier 2610$240.00$240.00$312.001.3×
vhn610$240.00$240.00$312.001.3×
vhn - link610$270.00$270.00$351.001.3×
vhn - plus610$231.00$231.00$300.301.3×
vhn - secondary payors610$285.00$285.00$370.501.3×
Anthem BCBS66$98.72$98.72$98.721.0×
Humana66$103.42$103.42$103.421.0×
First Health66$103.42$103.42$103.421.0×
corvel11$89.32$89.32$89.321.0×
integrated health plan11$255.00$255.00$255.001.0×
national provider network11$288.00$288.00$288.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$390.00$136.50$98.72$222.96$370.50
Carilion Medical CenterRoanokeVA16$390.00$136.50$98.72$222.96$370.50
Carilion New River Valley Med CenterChristiansburgVA16$390.00$136.50$98.72$222.96$370.50
Carilion Franklin Memorial HospitalRocky MountVA16$390.00$136.50$98.72$222.96$370.50
Carilion Giles Community HospitalPearisburgVA16$300.00$105.00$98.72$192.60$285.00
Carilion Tazewell Community HospitalTazewellVA19$300.00$105.00$89.32$190.50$288.00
Childrens Hospital Of The Kings DaNorfolkVA0$450.00$405.00
Lynn House Of Potomac Valley Inc.AlexandriaVA0$290.00$145.00
Bon Secours Depaul Medical CenterNorfolkVA0$522.00$339.30

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.