▸ Compare · PriceTransparency
Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in NC
Hospitals
21
Min
$62
Median
$76.91
Max
$91.18
Range multiplier
1.5×
By payer (48 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| bcbsfl | 9 | 144 | $62 | $70 | $72 | 1.2× |
| Aetna | 21 | 104 | $16.45 | $80 | $4,135 | 251.4× |
| Blue Cross Blue Shield | 21 | 81 | $12.6 | $63.77 | $1,917.84 | 152.2× |
| UnitedHealthcare | 21 | 70 | $12.6 | $80.19 | $9,368 | 743.5× |
| medcost | 18 | 36 | $71 | $152.57 | $211.13 | 3.0× |
| Cigna | 21 | 35 | $38.7 | $76.15 | $132.57 | 3.4× |
| Humana | 20 | 29 | $72 | $77.67 | $86 | 1.2× |
| WellCare | 19 | 19 | $12.6 | $76.15 | $90.3 | 7.2× |
| amerihealth | 10 | 11 | $12.6 | $18.94 | $2,024 | 160.6× |
| amerihealth caritas | 9 | 9 | $90.3 | $90.3 | $90.3 | 1.0× |
| CareSource | 9 | 9 | $33 | $33 | $40 | 1.2× |
| carolina complete | 9 | 9 | $12.35 | $18.17 | $38.55 | 3.1× |
| carolina complete health | 9 | 9 | $90.3 | $90.3 | $90.3 | 1.0× |
| choicecare | 9 | 9 | $160.48 | $160.48 | $160.48 | 1.0× |
| vaya | 9 | 9 | $90.3 | $90.3 | $90.3 | 1.0× |
| employers choice network | 9 | 9 | $97 | $97 | $97 | 1.0× |
| phcs | 9 | 9 | $75 | $75 | $90 | 1.2× |
| trillium | 9 | 9 | $89.41 | $89.41 | $90.3 | 1.0× |
| healthy blue | 9 | 9 | $90.3 | $90.3 | $90.3 | 1.0× |
| atlantic corporation dba atlantic packaging | 9 | 9 | $46 | $46 | $56.5 | 1.2× |
| amps | 9 | 9 | $55 | $55 | $65 | 1.2× |
| alliance | 9 | 9 | $91.2 | $91.2 | $91.2 | 1.0× |
| plotkin health | 9 | 9 | $60 | $60 | $60 | 1.0× |
| Multiplan | 9 | 9 | $75 | $75 | $90 | 1.2× |
| nc department of public safety | 9 | 9 | $12.35 | $18.17 | $38.55 | 3.1× |
| three rivers provider network | 9 | 9 | $97 | $97 | $97 | 1.0× |
| partners | 9 | 9 | $89.41 | $90.3 | $90.3 | 1.0× |
| ortho carolina | 4 | 8 | $95.19 | $95.19 | $95.19 | 1.0× |
| primary physician care | 8 | 8 | $74 | $74 | $88 | 1.2× |
| Ambetter | 4 | 4 | $30 | $171.19 | $171.19 | 5.7× |
| orthocarolina | 1 | 2 | $95.19 | $95.19 | $95.19 | 1.0× |
| beechstreet | 2 | 2 | $90 | $90 | $90 | 1.0× |
| devoted health | 2 | 2 | $74.84 | $77.02 | $79.2 | 1.1× |
| Molina | 1 | 1 | $74.84 | $74.84 | $74.84 | 1.0× |
| longevity health | 1 | 1 | $74.84 | $74.84 | $74.84 | 1.0× |
| qualcare inc | 1 | 1 | $800.95 | $800.95 | $800.95 | 1.0× |
| Self-Pay (Cash) | 1 | 1 | $18.77 | $18.77 | $18.77 | 1.0× |
| surgery plus | 1 | 1 | $124.73 | $124.73 | $124.73 | 1.0× |
| liberty | 1 | 1 | $77.67 | $77.67 | $77.67 | 1.0× |
| transformhealth | 1 | 1 | $80 | $80 | $80 | 1.0× |
| healthteam | 1 | 1 | $74.84 | $74.84 | $74.84 | 1.0× |
| troy | 1 | 1 | $76.15 | $76.15 | $76.15 | 1.0× |
| First Health | 1 | 1 | $60 | $60 | $60 | 1.0× |
| va communicare care | 1 | 1 | $76.15 | $76.15 | $76.15 | 1.0× |
| corporate benefits service | 1 | 1 | $191.73 | $191.73 | $191.73 | 1.0× |
| vaya health | 1 | 1 | $76.91 | $76.91 | $76.91 | 1.0× |
| carolina caring | 1 | 1 | $178.19 | $178.19 | $178.19 | 1.0× |
| wellpoint | 1 | 1 | $1,136 | $1,136 | $1,136 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NEW HANOVER REGIONAL MEDICAL CENTER | WILMINGTON | NC | 9 | — | — | $15.02 | $91.18 | $9,368 |
| ATRIUM HEALTH CLEVELAND | SHELBY | NC | 15 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH CABARRUS | CONCORD | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH KINGS MOUNTAIN | KINGS MOUNTAIN | NC | 15 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH ANSON | WADESBORO | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH PINEVILLE | CHARLOTTE | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| CAROLINAS MEDICAL CENTER | CHARLOTTE | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH STANLY | ALBEMARLE | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH UNION | MONROE | NC | 16 | — | — | $76.15 | $90.3 | $211.13 |
| ATRIUM HEALTH LINCOLN | LINCOLNTON | NC | 17 | — | — | $76.15 | $90.3 | $211.13 |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | WHITEVILLE | NC | 11 | — | — | $76.15 | $76.91 | $79.96 |
| GASTON MEMORIAL HOSPITAL | GASTONIA | NC | 12 | — | — | $71.28 | $74.84 | $191.73 |
| THOMASVILLE MEDICAL CENTER | THOMASVILLE | NC | 20 | — | — | $18.17 | $69.35 | $97 |
| MEDICAL PARK HOSPITAL | WINSTON-SALEM | NC | 21 | — | — | $23.71 | $68.7 | $97 |
| FORSYTH MEMORIAL HOSPITAL INC | WINSTON SALEM | NC | 21 | — | — | $18.57 | $68.7 | $97 |
| BRUNSWICK COMMUNITY HOSPITAL | BOLIVIA | NC | 21 | — | — | $14.08 | $62.2 | $97 |
| NOVANT HEALTH BALLANTYNE MEDICAL CTR | CHARLOTTE | NC | 20 | — | — | $20.39 | $62 | $97 |
| PRESBYTERIAN HOSPITAL HUNTERSVILLE | HUNTERSVILLE | NC | 20 | — | — | $12.35 | $62 | $97 |
| NOVANT HEALTH MINT HILL MEDICAL CTR | CHARLOTTE | NC | 20 | — | — | $32.4 | $62 | $97 |
| PRESBYTERIAN HOSPITAL MATTHEWS | MATTHEWS | NC | 20 | — | — | $13.01 | $62 | $97 |
| PRESBYTERIAN HOSPITAL | CHARLOTTE | NC | 20 | — | — | $17.42 | $62 | $97 |
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.