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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in MN

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Hospitals
17
Min
$101.45
Median
$272.67
Max
$332.00
Range multiplier
3.3×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11288$70.87$282.94$342.244.8×
medica12147$60.76$257.24$360.935.9×
health partners12137$56.21$304.85$676.5812.0×
sanford health plan12113$54.92$218.81$219.704.0×
security health plan11111$68.07$271.20$272.294.0×
Multiplan12102$79.26$315.89$317.054.0×
First Health13102$76.47$304.78$340.804.5×
wisconsin physician services11100$83.93$334.52$335.704.0×
private healthcare systems11100$79.26$315.93$317.054.0×
Blue Cross Blue Shield1698$46.86$266.10$2,198.1746.9×
ucare1247$57.28$94.02$208.613.6×
UnitedHealthcare1646$75.04$260.15$400.275.3×
optum427$42.50$240.50$275.526.5×
itasca medical care1122$56.21$65.63$75.041.3×
primewest1122$56.21$65.63$75.041.3×
south country health alliance918$56.21$65.63$75.041.3×
Humana315$83.16$241.52$242.452.9×
interlink113$266.25$278.74$279.751.1×
Cigna113$198.80$208.12$208.881.1×
emerging therapies113$227.20$237.86$238.721.1×
Aetna113$241.40$252.72$253.641.1×
WellCare1111$75.04$75.04$75.041.0×
hennepin health910$63.52$63.52$63.521.0×
Medicaid35$55.10$108.95$125.672.3×
Medicare35$78.17$89.89$108.671.4×
commercial | sanford health plan | all plans14$284.05$407.08$447.451.6×
commercial | health partners | all plans14$262.53$376.23$413.541.6×
commercial | preferred one | ppo13$372.00$425.01$438.031.2×
medica [900156]22$257.43$291.25$325.061.3×
hp11$155.00$155.00$155.001.0×
commercial | preferred one | all other plans11$167.31$167.31$167.311.0×
blue plus11$55.10$55.10$55.101.0×
healthpartners [900713]11$234.68$234.68$234.681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
St. Josephs Area Health ServicesPark RapidsMN8$471.00$291.55$108.67$332.00$447.45
Fairview Southdale HospitalEdinaMN18$373.00$233.88$42.50$283.11$676.58
M Health Fairview Bethesda HospitalSt PaulMN17$373.00$158.53$56.21$282.94$676.58
Healtheast St Josephs HospitalSt PaulMN17$373.00$158.53$56.21$282.94$676.58
Fairview Ridges HospitalBurnsvilleMN17$373.00$158.53$56.21$282.94$676.58
Healtheast St Johns HospitalMaplewoodMN17$373.00$158.53$56.21$282.94$676.58
Healtheast Woodwinds HospitalWoodburyMN17$373.00$158.53$56.21$282.94$676.58
Fairview Lakes Regional Medical CtrWyomingMN17$373.00$233.88$54.92$273.05$676.58
Fairview Northland RegPrincetonMN18$373.00$233.88$42.50$272.67$676.58
University Of Minnesota Medical CtrMinneapolisMN23$373.00$233.88$42.50$271.30$676.58
Range Regional Health ServicesHibbingMN16$372.00$158.10$42.50$264.84$2,198.17
Grand Itasca Clinic And HospitalGrand RapidsMN15$372.00$158.10$56.21$261.28$1,345.10
Johnson Memorial HospitalDawsonMN4$293.55$249.52$55.10$175.10$270.07
Community Memorial HospitalCloquetMN1$155.00$103.85$155.00$155.00$155.00
Regions HospitalSt PaulMN6$426.00$110.76$78.17$134.72$400.27
St. Gabriels HospitalLittle FallsMN8$231.00$133.98$69.30$131.67$219.45
Olivia Hospital And ClinicsOliviaMN7$269.00$164.09$46.86$101.45$261.12

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.