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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in KY

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Hospitals
10
Min
$82.79
Median
$122.82
Max
$978.54
Range multiplier
11.8×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna955$21.99$122.82$1,420.1164.6×
Anthem BCBS840$21.99$220.14$1,335.0660.7×
WellCare938$26.18$98.49$381.7514.6×
UnitedHealthcare931$21.99$122.82$1,137.6251.7×
Humana822$21.99$82.79$319.0914.5×
caresoure kentucky720$92.4$202.65$916.29.9×
umr814$68.53$251.96$1,137.6216.6×
optum ccn region 2712$26.18$122.82$122.824.7×
optum ccn region 1712$26.18$122.82$122.824.7×
Molina711$21.99$84.45$282.5212.8×
the health plan14$107.57$115.2$122.821.1×
Cigna13$133.08$165.42$252.461.9×
alliance coal12$159.7$203.92$248.131.6×
CareSource12$133.08$178.2$223.321.7×
Multiplan12$281.22$282.99$284.751.0×
va community care network12$133.08$149.25$165.421.2×
amerigroup12$133.08$149.25$165.421.2×
christian county health dept-cchd11$87.17$87.17$87.171.0×
center care11$252.46$252.46$252.461.0×
beacon health11$87.17$87.17$87.171.0×
First Health11$284.75$284.75$284.751.0×
commonwealth health alliance11$301.5$301.5$301.51.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
HIGHLANDS REGIONAL MEDICAL CENTERPRESTONSBURGKY10$257$154.2$44.66$98.39$202.65
HARLAN ARHHARLANKY8$1,454$872.4$232.64$978.54$1,352.22
MCDOWELL ARHMCDOWELLKY10$487$292.2$26.18$82.79$428.56
MIDDLESBORO ARHMIDDLESBOROKY10$1,527$916.2$28.27$241.51$1,420.11
JENNIE STUART MEDICAL CENTERHOPKINSVILLEKY16$335$103.85$87.17$165.42$319.09
HAZARD ARHHAZARDKY10$1,259$755.4$34.56$122.82$1,133.1
TUG VALLEY ARHSOUTH WILLIAMSONKY11$1,527$916.2$23.56$122.82$1,374.3
PAINTSVILLE ARH HOSPITALPAINTSVILLEKY9$1,454$872.4$21.99$122.82$1,271.23
WHITESBURG ARHWHITESBURGKY7$333$199.8$38.5$122.82$122.82
SPRING VIEW HOSPITALLEBANONKY0$739.34$295.74

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.