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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in NC

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Hospitals
21
Min
$62.00
Median
$76.91
Max
$91.18
Range multiplier
1.5×

By payer (48 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
bcbsfl9144$62.00$70.00$72.001.2×
Aetna21104$16.45$80.00$4,135.00251.4×
Blue Cross Blue Shield2181$12.60$63.77$1,917.84152.2×
UnitedHealthcare2170$12.60$80.19$9,368.00743.5×
medcost1836$71.00$152.57$211.133.0×
Cigna2135$38.70$76.15$132.573.4×
Humana2029$72.00$77.67$86.001.2×
WellCare1919$12.60$76.15$90.307.2×
amerihealth1011$12.60$18.94$2,024.00160.6×
amerihealth caritas99$90.30$90.30$90.301.0×
CareSource99$33.00$33.00$40.001.2×
carolina complete99$12.35$18.17$38.553.1×
carolina complete health99$90.30$90.30$90.301.0×
choicecare99$160.48$160.48$160.481.0×
vaya99$90.30$90.30$90.301.0×
employers choice network99$97.00$97.00$97.001.0×
phcs99$75.00$75.00$90.001.2×
trillium99$89.41$89.41$90.301.0×
healthy blue99$90.30$90.30$90.301.0×
atlantic corporation dba atlantic packaging99$46.00$46.00$56.501.2×
amps99$55.00$55.00$65.001.2×
alliance99$91.20$91.20$91.201.0×
plotkin health99$60.00$60.00$60.001.0×
Multiplan99$75.00$75.00$90.001.2×
nc department of public safety99$12.35$18.17$38.553.1×
three rivers provider network99$97.00$97.00$97.001.0×
partners99$89.41$90.30$90.301.0×
ortho carolina48$95.19$95.19$95.191.0×
primary physician care88$74.00$74.00$88.001.2×
Ambetter44$30.00$171.19$171.195.7×
orthocarolina12$95.19$95.19$95.191.0×
beechstreet22$90.00$90.00$90.001.0×
devoted health22$74.84$77.02$79.201.1×
Molina11$74.84$74.84$74.841.0×
longevity health11$74.84$74.84$74.841.0×
qualcare inc11$800.95$800.95$800.951.0×
Self-Pay (Cash)11$18.77$18.77$18.771.0×
surgery plus11$124.73$124.73$124.731.0×
liberty11$77.67$77.67$77.671.0×
transformhealth11$80.00$80.00$80.001.0×
healthteam11$74.84$74.84$74.841.0×
troy11$76.15$76.15$76.151.0×
First Health11$60.00$60.00$60.001.0×
va communicare care11$76.15$76.15$76.151.0×
corporate benefits service11$191.73$191.73$191.731.0×
vaya health11$76.91$76.91$76.911.0×
carolina caring11$178.19$178.19$178.191.0×
wellpoint11$1,136.00$1,136.00$1,136.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
New Hanover Regional Medical CenterWilmingtonNC9$15.02$91.18$9,368.00
Atrium Health ClevelandShelbyNC15$76.15$90.30$211.13
Atrium Health CabarrusConcordNC16$76.15$90.30$211.13
Atrium Health Kings MountainKings MountainNC15$76.15$90.30$211.13
Atrium Health AnsonWadesboroNC16$76.15$90.30$211.13
Atrium Health PinevilleCharlotteNC16$76.15$90.30$211.13
Carolinas Medical CenterCharlotteNC16$76.15$90.30$211.13
Atrium Health StanlyAlbemarleNC16$76.15$90.30$211.13
Atrium Health UnionMonroeNC16$76.15$90.30$211.13
Atrium Health LincolnLincolntonNC17$76.15$90.30$211.13
Columbus Regional Healthcare SystemWhitevilleNC11$76.15$76.91$79.96
Gaston Memorial HospitalGastoniaNC12$71.28$74.84$191.73
Thomasville Medical CenterThomasvilleNC20$18.17$69.35$97.00
Medical Park HospitalWinston-SalemNC21$23.71$68.70$97.00
Forsyth Memorial Hospital IncWinston SalemNC21$18.57$68.70$97.00
Brunswick Community HospitalBoliviaNC21$14.08$62.20$97.00
Novant Health Ballantyne Medical CtrCharlotteNC20$20.39$62.00$97.00
Presbyterian Hospital HuntersvilleHuntersvilleNC20$12.35$62.00$97.00
Novant Health Mint Hill Medical CtrCharlotteNC20$32.40$62.00$97.00
Presbyterian Hospital MatthewsMatthewsNC20$13.01$62.00$97.00
Presbyterian HospitalCharlotteNC20$17.42$62.00$97.00

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.