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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in MD

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Hospitals
27
Min
$109.46
Median
$211.61
Max
$293.00
Range multiplier
2.7×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield217$98.19$189.08$235.562.4×
johns hopkins [213]112$150.23$190.78$255.651.7×
Aetna210$101.80$145.12$195.631.9×
UnitedHealthcare18$150.23$175.95$195.631.3×
Cigna27$107.50$190.78$240.622.2×
Multiplan16$150.23$190.78$219.401.5×
Kaiser Permanente16$205.82$261.37$269.001.3×
keycare advantage [299]15$150.23$162.16$190.781.3×
Humana24$150.22$170.51$190.781.3×
md physician care [237]13$156.18$195.63$195.631.3×
Medicaid13$141.22$179.33$179.331.3×
Medicare13$150.23$190.78$190.781.3×
wellpoint [235]13$156.18$195.63$195.631.3×
alterwood health [290]13$159.30$199.54$199.541.3×
cfchp mco [239]13$150.23$190.78$190.781.3×
communicare advantage [300]13$150.23$190.78$190.781.3×
First Health13$195.30$248.01$248.011.3×
jai medical services [236]13$163.99$205.41$205.411.3×
priority partners [241]13$156.18$195.63$195.631.3×
provider partners health plan [298]13$150.23$190.78$190.781.3×
all payer - maryland12$293.00$293.00$293.001.0×
usa managed care organization [301]12$343.40$343.40$343.401.0×
all payors11$211.61$211.61$211.611.0×
all payers11$393.94$393.94$393.941.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Western Maryland CenterHagerstownMD1$293.00$175.80$293.00$293.00$293.00
Tidalhealth Peninsula Regional IncSalisburyMD1$211.61$207.38$211.61$211.61$211.61
Greater Baltimore Medical CenterTowsonMD22$393.94$386.06$98.19$190.78$393.94
Kennedy KriegerBaltimoreMD4$925.00$740.00$107.50$109.46$150.22
Harford Memorial HospitalHavre De GraceMD0$352.56$345.51———
Medstar Montgomery Medical CenterOlneyMD0$489.52$479.73———
Medstar Union Memorial HospitalBaltimoreMD0$375.94$368.42———
St. Marys HospitalLeonardtownMD0$291.84$286.00———
Chester River Hospital CenterChestertownMD0$263.70$258.43———
Medstar Harbor HospitalBaltimoreMD0$177.86$174.30———
Civista Medical CenterLa PlataMD0$246.78$241.84———
Memorial Easton219 South Washington StreetMD0$482.82$473.16———
Meritus Medical CenterHagerstownMD0$262.32$257.07———
Baltimore Washington Medical CenterGlen BurnieMD0$303.78$297.70———
Upper Chesapeake Medical CenterBel AirMD0$280.62$275.01———
Doctors Community HospitalLanhamMD0$569.72$558.33———
Southern Maryland HospitalClintonMD0$324.79$318.29———
Laurel Regional HospitalLaurelMD0$371.52$364.09———
Good Samaritan HospitalBaltimoreMD0$386.88$379.14———
James Lawrence Kernan HospitalBaltimoreMD0$748.32$733.35———
Medstar Southern Maryland Hospital CClintonMD0$324.79$318.29———
St. Joseph Medical CenterTowsonMD0$352.56$345.51———
Mt Washington PediatricsBaltimoreMD0$136.62$133.89———
Maryland General HospitalBaltimoreMD0$437.76$429.00———
University Of Maryland Med SysBaltimoreMD0$475.74$466.23———
Prince Georges Hospital Center IncLaurelMD0$379.50$371.91———
Frederick Memorial HospitalFrederickMD0$209.81$205.61———

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.