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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in IA

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Hospitals
28
Min
$93.00
Median
$203.00
Max
$279.36
Range multiplier
3.0×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1791$44.29$203.00$485.4511.0×
UnitedHealthcare1986$36.05$234.77$559.9315.5×
medica479$36.05$279.36$490.5613.6×
Aetna1647$78.00$217.12$549.297.0×
midlands choice437$98.88$279.36$490.565.0×
millard public schools232$98.88$372.96$490.565.0×
one world232$98.88$372.96$490.565.0×
greater omaha packing232$98.88$372.96$490.565.0×
Humana1622$36.05$138.05$219.736.1×
quiktrip320$98.88$279.36$490.565.0×
phcs320$100.94$285.18$500.785.0×
Multiplan320$100.94$285.18$500.785.0×
Cigna1618$100.00$272.53$562.595.6×
amerigroup216$37.86$155.00$230.726.1×
timpte216$98.88$372.96$490.565.0×
Centene314$30.45$127.64$224.137.4×
health partners open network1414$183.88$183.88$183.881.0×
Molina1111$74.00$134.11$134.111.8×
amerivantage1111$131.48$138.05$138.051.0×
pace28$36.05$147.62$219.736.1×
great plains28$37.86$155.00$230.726.1×
bc illinois community28$276.60$388.76$472.731.7×
amps28$80.04$327.71$487.816.1×
iamolina28$46.07$173.74$228.525.0×
healthpartners14$74.00$295.88$498.756.7×
Anthem BCBS14$66.00$326.13$565.258.6×
total care14$45.18$170.40$224.135.0×
common ground13$65.00$65.00$65.001.0×
wisconsin physician service13$90.00$95.00$95.001.1×
health alliance22$131.48$131.48$131.481.0×
meridian health plan22$138.05$138.05$138.051.0×
elap12$56.84$69.16$81.481.4×
health eos plus12$399.00$399.00$399.001.0×
Ambetter22$131.48$131.48$131.481.0×
health eos12$532.00$532.00$532.001.0×
quartz group11$80.00$80.00$80.001.0×
quartz one11$70.00$70.00$70.001.0×
dean health plan11$305.44$305.44$305.441.0×
centivo11$76.00$76.00$76.001.0×
aurora caregiver11$80.00$80.00$80.001.0×
trilogy11$116.00$116.00$116.001.0×
hs technology11$90.00$90.00$90.001.0×
iowa health11$138.05$138.05$138.051.0×
medical associates health plan11$230.09$230.09$230.091.0×
meridian11$138.05$138.05$138.051.0×
health payment systems11$115.00$115.00$115.001.0×
health partners11$169.38$169.38$169.381.0×
everpointe elite11$75.00$75.00$75.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Washington County HospitalWashingtonIA18$665.00$332.50$65.00$93.00$565.25
Chi Health - Missouri ValleyMissouri ValleyIA19$511.00$250.39$36.05$279.36$500.78
Chi Health Mercy CorningCorningIA18$511.00$245.28$44.29$279.36$500.78
The Finley HospitalDubuqueIA12$332.00$265.60$131.48$210.06$472.73
St. Lukes Methodist HospitalCedar RapidsIA8$332.00$265.60$131.48$203.00$272.53
Iowa Methodist Medical CenterDes MoinesIA8$332.00$265.60$131.48$203.00$272.53
Allen Memorial HospitalWaterlooIA8$332.00$265.60$131.48$203.00$272.53
Unitypoint Health-MarshalltownMarshalltownIA8$332.00$265.60$131.48$203.00$272.53
Trinity MuscatineMuscatineIA10$332.00$265.60$131.48$203.00$472.73
Trinity Regional Medical CenterFort DodgeIA6$332.00$265.60$131.48$203.00$272.53
Iowa Lutheran HospitalDes MoinesIA8$332.00$265.60$131.48$203.00$272.53
St. Lukes Regl Medical CenterSioux CityIA8$332.00$265.60$131.48$203.00$272.53
Grinnell Regional Medical CenterGrinnellIA8$332.00$265.60$131.48$203.00$272.53
Grundy County Mem. HospitalGrundy CenterIA8$332.00$265.60$131.48$203.00$272.53
Jones Regional Medical CtrAnamosaIA8$332.00$265.60$131.48$203.00$272.53
Community Mem. Hospt. SummerSumnerIA8$332.00$265.60$131.48$203.00$272.53
Trinity BettendorfBettendorfIA9$332.00$265.60$131.48$193.44$272.53
Broadlawns Medical CenterDes MoinesIA7$293.00$293.00$144.07$169.38$293.00
Chi Health Mercy Council BluffsCouncil BluffsIA8$291.00$122.22$30.45$162.40$345.78
Loring HospitalSac CityIA0$427.00$341.60
Mitchell County Regional Health CentOsageIA0$328.40$295.56
Greene County Medical CenterJeffersonIA0$455.00$254.80
Regional Health Services Of Howard CCrescoIA0$1,178.00
Spencer Municipal HospitalSpencerIA0$249.86$187.40
Mercy Hospital Iowa CityIowa CityIA0$635.00$304.80
Story County HospitalNevadaIA0$668.00$534.40
Peoples Memorial HospitalIndependenceIA0$542.83$461.40
Stewart Memorial HospitalLake CityIA0$548.00$438.00

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.