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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in VA

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Hospitals
8
Min
$247.65
Median
$250.38
Max
$250.38
Range multiplier
1.0×

By payer (19 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare525$145.35$222.96$318.792.2×
Aetna515$198.51$202.02$258.961.3×
Cigna510$247.65$263.45$280.801.1×
sentara health plan510$141.39$191.60$241.801.7×
gateway - tier 155$370.50$370.50$370.501.0×
gateway - tier 255$312.00$312.00$312.001.0×
gateway - tier 355$214.50$214.50$214.501.0×
Humana55$145.35$145.35$145.351.0×
vhn - ultra55$241.80$241.80$241.801.0×
Anthem BCBS55$138.75$138.75$138.751.0×
connecticare55$273.00$273.00$273.001.0×
First Health55$145.35$145.35$145.351.0×
vhn - link55$351.00$351.00$351.001.0×
vhn - plus55$300.30$300.30$300.301.0×
vhn - secondary payors55$370.50$370.50$370.501.0×
vhn55$312.00$312.00$312.001.0×
national provider network11$374.40$374.40$374.401.0×
integrated health plan11$331.50$331.50$331.501.0×
corvel11$125.53$125.53$125.531.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carilion Stonewall Jackson HospitalLexingtonVA16$390.00$136.50$138.75$250.38$370.50
Carilion Medical CenterRoanokeVA16$390.00$136.50$138.75$250.38$370.50
Carilion New River Valley Med CenterChristiansburgVA16$390.00$136.50$138.75$250.38$370.50
Carilion Franklin Memorial HospitalRocky MountVA16$390.00$136.50$138.75$250.38$370.50
Carilion Tazewell Community HospitalTazewellVA19$390.00$136.50$125.53$247.65$374.40
Childrens Hospital Of The Kings DaNorfolkVA0$428.00$385.20
Lynn House Of Potomac Valley Inc.AlexandriaVA0$336.00$168.00
Bon Secours Depaul Medical CenterNorfolkVA0$672.00$436.80

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.