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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in MD
Hospitals
3
Min
$99.49
Median
$182.61
Max
$210
Range multiplier
2.1×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 2 | 10 | $86.51 | $131.47 | $280 | 3.2× |
| UnitedHealthcare | 2 | 7 | $86.51 | $107.43 | $175 | 2.0× |
| johns hopkins [213] | 1 | 6 | $86.51 | $86.51 | $115.92 | 1.3× |
| Aetna | 2 | 6 | $93.6 | $109.91 | $350 | 3.7× |
| Cigna | 2 | 5 | $86.51 | $132.14 | $245 | 2.8× |
| Humana | 2 | 3 | $86.51 | $86.51 | $105 | 1.2× |
| Multiplan | 1 | 3 | $86.51 | $99.49 | $99.49 | 1.2× |
| keycare advantage [299] | 1 | 3 | $73.53 | $86.51 | $86.51 | 1.2× |
| Kaiser Permanente | 1 | 2 | $121.98 | $121.98 | $121.98 | 1.0× |
| cfchp mco [239] | 1 | 2 | $86.51 | $86.51 | $86.51 | 1.0× |
| communicare advantage [300] | 1 | 2 | $86.51 | $86.51 | $86.51 | 1.0× |
| First Health | 1 | 2 | $112.46 | $112.46 | $112.46 | 1.0× |
| Medicaid | 1 | 2 | $81.32 | $81.32 | $81.32 | 1.0× |
| Medicare | 1 | 2 | $86.51 | $86.51 | $86.51 | 1.0× |
| provider partners health plan [298] | 1 | 2 | $86.51 | $86.51 | $86.51 | 1.0× |
| usa managed care organization [301] | 1 | 2 | $132.36 | $132.36 | $132.36 | 1.0× |
| medstar family | 1 | 1 | $107.43 | $107.43 | $107.43 | 1.0× |
| alterwood health [290] | 1 | 1 | $109.58 | $109.58 | $109.58 | 1.0× |
| priority partners [241] | 1 | 1 | $107.43 | $107.43 | $107.43 | 1.0× |
| jai medical services [236] | 1 | 1 | $112.8 | $112.8 | $112.8 | 1.0× |
| md physician care [237] | 1 | 1 | $107.43 | $107.43 | $107.43 | 1.0× |
| wellpoint [235] | 1 | 1 | $107.43 | $107.43 | $107.43 | 1.0× |
| all payors | 1 | 1 | $182.61 | $182.61 | $182.61 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| GREATER BALTIMORE MEDICAL CENTER | TOWSON | MD | 21 | $168 | $168 | $73.53 | $99.49 | $137.18 |
| KENNEDY KRIEGER | BALTIMORE | MD | 6 | $700 | $560 | $105 | $210 | $350 |
| TIDALHEALTH PENINSULA REGIONAL INC | SALISBURY | MD | 1 | $182.61 | $178.96 | $182.61 | $182.61 | $182.61 |
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.