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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$122.24
Median
$150.77
Max
$285.82
Range multiplier
2.3×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield226$91.75$296.29$489.585.3×
Aetna314$98.83$141.36$578.705.9×
Humana213$110.42$153.79$220.962.0×
UnitedHealthcare312$73.38$185.60$578.707.9×
Molina210$77.21$270.41$393.605.1×
Kaiser Permanente28$101.52$157.06$578.705.7×
Medicare Advantage18$117.16$158.29$214.511.8×
Multiplan25$108.29$142.42$504.004.7×
Cigna14$101.52$463.50$578.705.7×
community health network of wa [1055]14$198.91$233.93$364.081.8×
Ambetter14$90.24$371.21$471.745.2×
first choice [8009]14$101.52$463.50$578.705.7×
first choice generic [8999]14$101.52$463.50$578.705.7×
pacific source administrators [8010]14$101.52$463.50$578.705.7×
First Health14$101.52$463.50$578.705.7×
ameriben [8000]14$101.52$463.50$578.705.7×
mid west natl life [8006]14$101.52$463.50$578.705.7×
mutual of omaha [8007]14$101.52$463.50$578.705.7×
mva progressive [1027]14$108.29$494.40$617.285.7×
mva state farm [1028]14$108.29$494.40$617.285.7×
pacific source [8008]14$101.52$463.50$578.705.7×
wellpoint [6009]14$43.99$200.85$250.775.7×
asuris truadvantage [4011]14$117.17$158.29$214.511.8×
chp advantage [4001]14$134.35$181.53$246.001.8×
mega life [8005]14$101.52$463.50$578.705.7×
chpw [130116]13$184.06$241.23$296.091.6×
Medicare13$150.77$150.77$158.311.1×
mva farmers [1026]12$108.29$306.15$504.004.7×
allied benefit systems llc [110104]12$98.83$111.98$125.121.3×
bh managed health network [130106]12$50.00$50.00$50.001.0×
bh mnh [130108]12$50.00$50.00$50.001.0×
chp [6000]12$79.76$90.96$102.151.3×
coordinated care [6007]12$79.44$90.59$101.741.3×
GEHA12$101.52$287.01$472.504.7×
the health plan12$107.57$107.57$107.571.0×
wellpoint medadvantage [210115]11$150.77$150.77$150.771.0×
the health plan hmo11$129.36$129.36$129.361.0×
umr11$121.66$121.66$121.661.0×
chpw med advantage [210102]11$150.77$150.77$150.771.0×
bh optum health medadvantage [210117]11$150.77$150.77$150.771.0×
first choice health administrators [150110]11$116.70$116.70$116.701.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Wenatchee Valley HospitalWenatcheeWA29$643.00$578.70$43.99$285.82$617.28
Valley Medical CenterRentonWA16$559.00$391.30$50.00$150.77$370.11
East Adams Rural HospitalRitzvilleWA5$333.00$199.80$107.57$122.24$135.52

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.