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Office visit, established patient, 40-54 min
CPT 99215 · negotiated-rate distribution across hospitals in DC
Hospitals
2
Min
$85.52
Median
$143.3
Max
$143.3
Range multiplier
1.7×
By payer (16 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Kaiser Permanente | 2 | 8 | $28.18 | $133.91 | $189.05 | 6.7× |
| UnitedHealthcare | 2 | 7 | $60.09 | $140.57 | $288.38 | 4.8× |
| Blue Cross Blue Shield | 2 | 6 | $67.52 | $112.71 | $136.47 | 2.0× |
| Aetna | 2 | 4 | $69.54 | $133.97 | $187.46 | 2.7× |
| Cigna | 2 | 4 | $38.13 | $107.1 | $192.21 | 5.0× |
| VA Health | 2 | 2 | $67.52 | $102 | $136.47 | 2.0× |
| amerihealth negotiated charge | 2 | 2 | $81.51 | $101.2 | $120.88 | 1.5× |
| hscsn negotiated charge | 2 | 2 | $186.41 | $220.1 | $253.79 | 1.4× |
| Multiplan | 2 | 2 | $211.27 | $240.99 | $270.7 | 1.3× |
| pfc negotiated charge | 2 | 2 | $161.56 | $190.75 | $219.95 | 1.4× |
| TRICARE | 2 | 2 | $186.41 | $220.1 | $253.79 | 1.4× |
| medstar family choice district of columbia negotiated charge | 2 | 2 | $81.51 | $101.2 | $120.88 | 1.5× |
| medstar family choice maryland negotiated charge | 2 | 2 | $97.36 | $116.86 | $136.36 | 1.4× |
| magellan behavioral health negotiated charge** | 1 | 1 | $27.62 | $27.62 | $27.62 | 1.0× |
| choicecare negotiated charge | 1 | 1 | $304.54 | $304.54 | $304.54 | 1.0× |
| johns hopkins healthcare negotiated charge | 1 | 1 | $161.56 | $161.56 | $161.56 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WASHINGTON HOSPITAL CENTER | WASHINGTON | DC | 15 | — | — | $27.62 | $85.52 | $304.54 |
| NATIONAL REHABILITATION HOSPITAL | WASHINGTON | DC | 14 | — | — | $28.18 | $143.3 | $211.27 |
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.