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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in AL

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Hospitals
17
Min
$40.00
Median
$258.25
Max
$435.30
Range multiplier
10.9×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Humana841$90.00$328.00$1,059.0011.8×
Cigna738$40.00$258.25$495.8412.4×
Aetna923$31.00$171.00$671.4521.7×
Blue Cross Blue Shield616$206.00$286.46$1,059.005.1×
UnitedHealthcare712$57.00$176.40$464.858.2×
viva510$150.40$196.00$516.503.4×
health spring17$72.00$115.00$371.005.2×
Ambetter44$392.00$392.00$392.001.0×
university of utah14$31.80$36.60$39.901.3×
pehp12$27.60$31.55$35.501.3×
illinicare11$397.32$397.32$397.321.0×
injury care of utah11$78.00$78.00$78.001.0×
magellan behavioral health11$50.00$50.00$50.001.0×
magellan bh11$80.00$80.00$80.001.0×
Medicaid11$397.32$397.32$397.321.0×
meridian11$397.32$397.32$397.321.0×
Multiplan11$67.00$67.00$67.001.0×
occunet11$887.50$887.50$887.501.0×
select health er11$57.80$57.80$57.801.0×
sterling life insurance11$25.00$25.00$25.001.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$40.00$40.00$40.001.0×
usa managed care11$85.00$85.00$85.001.0×
viva med adv11$119.41$119.41$119.411.0×
angle insurance11$48.00$48.00$48.001.0×
blue advantage11$80.00$80.00$80.001.0×
Bright Health11$28.00$28.00$28.001.0×
county care11$397.32$397.32$397.321.0×
dmba (deseret mutual benefit admin)11$37.71$37.71$37.711.0×
elap11$21.18$21.18$21.181.0×
evernorth behavioral health11$117.66$117.66$117.661.0×
evernorth bh11$70.00$70.00$70.001.0×
harmony health plan11$397.32$397.32$397.321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalChatomAL4$54.17$57.00$77.50$90.00
St. Vincents EastBirminghamAL2$710.00$262.70$435.30$435.30$887.50
Mountain View HospitalGadsdenAL18$499.17$499.17$21.18$40.00$85.00
St. Vincents St. ClairPell CityAL8$374.97$397.32$488.29
Coosa Valley Medical CenterSylacaugaAL4$1,059.00$254.00$72.00$294.00$1,059.00
Huntsville HospitalHuntsvilleAL7$1,033.00$1,033.00$98.00$258.25$671.45
Athens LimestoneAthensAL7$1,033.00$1,033.00$98.00$258.25$671.45
Decatur Morgan - Decatur CampusDecaturAL7$1,033.00$1,033.00$98.00$258.25$671.45
Helen Keller HospitalSheffieldAL7$1,033.00$1,033.00$98.00$258.25$671.45
Marshall Medical Centers SouthBoazAL3$392.00$392.00$150.40$169.20$176.40
Cullman RegionalCullmanAL4$1,078.84$701.00$119.41$119.41$119.41
Providence HospitalMobileAL1$1,067.00$426.80$117.66$117.66$117.66
Springhill Memorial HospitalMobileAL0$284.90$242.17
Noland Hospital Birmingham IiBirminghamAL0$1,118.51
Noland Hospital Dothan IiDothanAL0$1,142.69
Noland Hospital Tuscaloosa IiTuscaloosaAL0$428.63
Southeast Health Medical CenterDothanAL0$434.97$173.99

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.