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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in GA
Hospitals
4
Min
$67.81
Median
$88.64
Max
$119.52
Range multiplier
1.8×
By payer (15 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 3 | 5 | $78.87 | $172.80 | $198.33 | 2.5× |
| Cigna | 2 | 4 | $1.00 | $165.41 | $238.00 | 238.0× |
| Blue Cross Blue Shield | 2 | 4 | $88.64 | $109.74 | $163.40 | 1.8× |
| Medicaid | 1 | 4 | $1.00 | $44.04 | $141.08 | 141.1× |
| UnitedHealthcare | 2 | 4 | $1.00 | $119.63 | $167.04 | 167.0× |
| Health Net | 1 | 2 | $72.22 | $129.23 | $186.24 | 2.6× |
| health choice | 1 | 1 | $75.84 | $75.84 | $75.84 | 1.0× |
| Humana | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| mercy care | 1 | 1 | $75.84 | $75.84 | $75.84 | 1.0× |
| evernorth behavioral health | 1 | 1 | $67.81 | $67.81 | $67.81 | 1.0× |
| arizona complete health | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| banner health | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| care 1st | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| acchs | 1 | 1 | $72.22 | $72.22 | $72.22 | 1.0× |
| First Health | 1 | 1 | $182.40 | $182.40 | $182.40 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Dodge County Hospital | Eastman | GA | 5 | $264.44 | — | $1.00 | $88.64 | $238.00 |
| Southern Regional Medical Center | Riverdale | GA | 1 | $265.39 | — | $78.87 | $78.87 | $78.87 |
| St. Marys Sacred Heart Hospital | Lavonia | GA | 1 | — | — | $67.81 | $67.81 | $67.81 |
| West Central Ga Regional Hospital | Columbus | GA | 13 | $192.00 | $142.47 | $72.22 | $119.52 | $186.24 |
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.