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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in GA

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Hospitals
4
Min
$67.81
Median
$88.64
Max
$119.52
Range multiplier
1.8×

By payer (15 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna35$78.87$172.8$198.332.5×
Cigna24$1$165.41$238238.0×
Blue Cross Blue Shield24$88.64$109.74$163.41.8×
Medicaid14$1$44.04$141.08141.1×
UnitedHealthcare24$1$119.63$167.04167.0×
Health Net12$72.22$129.23$186.242.6×
health choice11$75.84$75.84$75.841.0×
Humana11$72.22$72.22$72.221.0×
mercy care11$75.84$75.84$75.841.0×
evernorth behavioral health11$67.81$67.81$67.811.0×
arizona complete health11$72.22$72.22$72.221.0×
banner health11$72.22$72.22$72.221.0×
care 1st11$72.22$72.22$72.221.0×
acchs11$72.22$72.22$72.221.0×
First Health11$182.4$182.4$182.41.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
DODGE COUNTY HOSPITALEASTMANGA5$264.44$1$88.64$238
SOUTHERN REGIONAL MEDICAL CENTERRIVERDALEGA1$265.39$78.87$78.87$78.87
ST. MARYS SACRED HEART HOSPITALLAVONIAGA1$67.81$67.81$67.81
WEST CENTRAL GA REGIONAL HOSPITALCOLUMBUSGA13$192$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.