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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in GA

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Hospitals
9
Min
$115.52
Median
$254.45
Max
$346.75
Range multiplier
3.0×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield639$48.19$292.94$2,800.0058.1×
Aetna533$107.82$425.00$947.298.8×
UnitedHealthcare629$1.00$245.34$896.10896.1×
Cigna428$1.00$367.50$1,136.751136.8×
Medicaid116$1.00$105.48$673.84673.8×
First Health311$267.90$519.30$978.503.7×
Health Net18$101.32$557.75$999.109.9×
WellCare46$51.20$133.11$288.305.6×
Humana56$101.32$231.27$356.323.5×
CareSource46$13.49$137.47$293.9021.8×
alliant health plan24$227.50$367.50$647.502.8×
amerigroup community care23$45.32$128.98$254.455.6×
dodge cty op rate22$138.48$138.48$138.481.0×
secure health op rate22$288.50$288.50$288.501.0×
phcs op rate22$530.84$530.84$530.841.0×
beech street op rate22$519.30$519.30$519.301.0×
alliant op rate22$288.50$288.50$288.501.0×
evernorth behavioral health11$117.66$117.66$117.661.0×
arizona complete health11$101.32$101.32$101.321.0×
banner health11$101.32$101.32$101.321.0×
care 1st11$101.32$101.32$101.321.0×
acchs11$101.32$101.32$101.321.0×
health choice11$106.39$106.39$106.391.0×
mercy care11$106.39$106.39$106.391.0×
peach state health plan op rate11$98.44$98.44$98.441.0×
peach state hp op rate11$124.13$124.13$124.131.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
West Central Ga Regional HospitalColumbusGA13$1,030.00$764.26$101.32$346.75$999.10
Perry HospitalPerryGA11$95.48$290.72$530.84
Houston Medical CenterWarner RobinsGA12$120.50$288.50$530.84
Chatuge Regional HospitalHiwasseeGA9$550.00$275.00$80.00$254.45$467.50
Union General HospitalBlairsvilleGA8$925.00$462.50$45.32$229.94$786.25
Dodge County HospitalEastmanGA5$1,263.05$1.00$191.48$2,800.00
St. Marys Sacred Heart HospitalLavoniaGA1$1,067.00$426.80$117.66$117.66$117.66
Southern Regional Medical CenterRiverdaleGA3$918.60$13.49$115.52$356.32
Southwell MedicalAdelGA0$993.00$496.50

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.