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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in AR

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Hospitals
5
Min
$125.00
Median
$211.61
Max
$393.25
Range multiplier
3.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
carelon121$62.44$64.31$167.482.7×
UnitedHealthcare420$20.80$124.94$393.2518.9×
Blue Cross Blue Shield218$119.25$153.13$225.001.9×
community care behavorial health university of pittsburgh medical center112$110.00$209.00$366.003.3×
community care behavorial health healthchoices19$110.00$209.00$366.003.3×
Medicare27$119.25$119.25$142.201.2×
Cigna47$119.25$393.25$393.253.3×
amerihealth16$81.95$113.17$128.781.6×
univera16$121.35$133.14$161.711.3×
Medicare Advantage26$393.25$393.25$393.251.0×
Aetna36$119.25$393.25$393.253.3×
Humana34$119.25$256.25$393.253.3×
geisinger14$113.17$119.03$124.881.1×
TRICARE13$119.25$119.25$119.251.0×
Ambetter33$127.60$393.25$393.253.1×
abcbs22$393.25$393.25$393.251.0×
american health plan22$393.25$393.25$393.251.0×
Anthem BCBS12$145.47$185.24$225.001.5×
arkansas firstsource12$145.47$185.24$225.001.5×
arkansas total care (passe)22$393.25$393.25$393.251.0×
blue advantage12$145.47$185.24$225.001.5×
blue card12$145.47$185.24$225.001.5×
care source (passe)22$393.25$393.25$393.251.0×
devoted22$393.25$393.25$393.251.0×
empower22$393.25$393.25$393.251.0×
essence22$393.25$393.25$393.251.0×
health advantage12$145.47$185.24$225.001.5×
Medicaid22$393.25$393.25$393.251.0×
Multiplan22$334.26$334.26$334.261.0×
municipal league22$393.25$393.25$393.251.0×
pennsylvania health and wellness12$103.03$110.05$117.071.1×
phcs22$310.67$310.67$310.671.0×
qualchoice22$393.25$393.25$393.251.0×
summit (passe)22$393.25$393.25$393.251.0×
vaccn22$393.25$393.25$393.251.0×
usable life group health11$250.00$250.00$250.001.0×
mutual of omaha11$250.00$250.00$250.001.0×
optumhealth11$119.25$119.25$119.251.0×
va ccn optum health11$119.25$119.25$119.251.0×
va med center11$119.25$119.25$119.251.0×
windsor sterling11$119.25$119.25$119.251.0×
qualchoice advantage11$119.25$119.25$119.251.0×
qualchoice exchange11$250.00$250.00$250.001.0×
qualchoice of arkansas11$250.00$250.00$250.001.0×
Self-Pay (Cash)11$125.00$125.00$125.001.0×
WellCare11$119.25$119.25$119.251.0×
american health plans11$147.57$147.57$147.571.0×
life pittsburgh11$134.15$134.15$134.151.0×
martin's point11$382.02$382.02$382.021.0×
amco11$250.00$250.00$250.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Rehab Hospital Fort SmithFort SmithAR20$393.25$393.25$310.67$393.25$393.25
Arkansas Childrens NorthwestSpringdaleAR20$393.25$393.25$310.67$393.25$393.25
Conway Regional Medical Center IncConwayAR1$211.61$207.38$211.61$211.61$211.61
Drew Memorial Hospital IncMonticelloAR15$677.00$528.06$20.80$131.47$382.02
Ouachita County Medical CenterCamdenAR28$250.00$119.25$125.00$250.00

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.