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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in MO

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Hospitals
9
Min
$97.69
Median
$385.76
Max
$397.33
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS29$293.18$397.33$397.331.4×
UnitedHealthcare28$385.76$391.55$397.331.0×
Aetna36$97.69$391.55$397.334.1×
Cigna25$385.76$397.33$397.331.0×
Medicaid23$385.76$385.76$397.331.0×
Humana23$385.76$385.76$397.331.0×
healthlink hmo22$385.76$391.55$397.331.0×
essence22$385.76$391.55$397.331.0×
Blue Cross Blue Shield22$97.69$241.73$385.763.9×
healthlink ppo22$385.76$391.55$397.331.0×
WellCare22$385.76$391.55$397.331.0×
Meritain Health12$397.33$397.33$397.331.0×
medica22$385.76$391.55$397.331.0×
Ambetter22$385.76$391.55$397.331.0×
devoted health11$397.33$397.33$397.331.0×
devoted healthcare11$385.76$385.76$385.761.0×
diversified plastics11$385.76$385.76$385.761.0×
dora school district (smbc)11$385.76$385.76$385.761.0×
easter seals midwest11$385.76$385.76$385.761.0×
Empire BCBS11$385.76$385.76$385.761.0×
employers benefit alliance11$385.76$385.76$385.761.0×
evolutions11$385.76$385.76$385.761.0×
fabick cat11$385.76$385.76$385.761.0×
fair grove school district (smbc)11$385.76$385.76$385.761.0×
First Health11$281.60$281.60$281.601.0×
Health Net11$385.76$385.76$385.761.0×
health systems, inc.11$385.76$385.76$385.761.0×
healthlink workcomp11$327.90$327.90$327.901.0×
healthy blue (missouri care)11$397.33$397.33$397.331.0×
heart of america (tri state healthcare coalition – med pay)11$385.76$385.76$385.761.0×
hickory county skyline school district (smbc)11$385.76$385.76$385.761.0×
home state health plan, inc.11$385.76$385.76$385.761.0×
homestate health plan11$397.33$397.33$397.331.0×
j and m farms, inc. (tri-state healthcare coalition)11$385.76$385.76$385.761.0×
jayhawk fine chemicals/evonic(tri state healthcare coalition)11$385.76$385.76$385.761.0×
laclede county school district conway (smbc)11$385.76$385.76$385.761.0×
lebanon school district (smbc)11$385.76$385.76$385.761.0×
marshfield school district (smbc)11$385.76$385.76$385.761.0×
mercy charity contract11$385.76$385.76$385.761.0×
meridian healthcare of illinois mc plus11$97.69$97.69$97.691.0×
mers goodwill11$385.76$385.76$385.761.0×
missouri state university11$385.76$385.76$385.761.0×
mount vernon school district (smbc)11$385.76$385.76$385.761.0×
mountain grove r-111 school district (smbc)11$385.76$385.76$385.761.0×
mountain view school district (smbc)11$385.76$385.76$385.761.0×
Multiplan11$385.76$385.76$385.761.0×
ozarks community hospital11$385.76$385.76$385.761.0×
pathway/pathway x11$385.76$385.76$385.761.0×
phcs savility11$385.76$385.76$385.761.0×
quality collisson group11$385.76$385.76$385.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Ranken JordanMaryland HeightsMO3$427.00$427.00$97.69$97.69$97.69
Mercy Hospital - St. LouisSt. LouisMO19$397.33$397.33$397.33$397.33$397.33
Mercy Rehabilitation Hospital-SpgfSpringfieldMO70$385.76$385.76$231.46$385.76$385.76
Missouri Delta Medical CenterSikestonMO0$477.75$119.44
Harrison County Community HospitalBethanyMO0$348.00$174.00
Cox Medical Center BransonBransonMO0$671.40$152.41
Cox-Monett HospitalMonettMO0$671.40$204.78
CoxhealthSpringfieldMO0$987.01$248.73
Barton County Memorial HospitalLamarMO0$671.40$214.18

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.