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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in OH
Hospitals
5
Min
$75.96
Median
$79.00
Max
$79.00
Range multiplier
1.0×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 2 | 8 | $48.56 | $79.00 | $85.96 | 1.8× |
| UnitedHealthcare | 2 | 6 | $48.56 | $94.67 | $127.40 | 2.6× |
| healthsmart | 1 | 4 | $77.00 | $119.00 | $119.00 | 1.5× |
| Anthem BCBS | 1 | 4 | $47.60 | $112.63 | $117.18 | 2.5× |
| medical mutual | 1 | 3 | $47.60 | $96.60 | $102.20 | 2.1× |
| Humana | 2 | 3 | $48.08 | $70.00 | $74.11 | 1.5× |
| aultcare | 1 | 3 | $47.60 | $54.60 | $67.20 | 1.4× |
| Medicare | 1 | 3 | $74.11 | $74.11 | $75.59 | 1.0× |
| summacare | 1 | 3 | $47.60 | $119.00 | $119.00 | 2.5× |
| Medicaid | 1 | 2 | $52.40 | $53.45 | $54.50 | 1.0× |
| the health plan | 1 | 2 | $47.60 | $77.42 | $107.24 | 2.3× |
| Cigna | 1 | 2 | $121.80 | $121.80 | $121.80 | 1.0× |
| ohio health choice | 1 | 2 | $98.00 | $98.00 | $98.00 | 1.0× |
| ohio preferred network | 1 | 2 | $105.00 | $112.00 | $119.00 | 1.1× |
| CareSource | 1 | 1 | $48.56 | $48.56 | $48.56 | 1.0× |
| First Health | 1 | 1 | $109.20 | $109.20 | $109.20 | 1.0× |
| Blue Cross Blue Shield | 1 | 1 | $95.57 | $95.57 | $95.57 | 1.0× |
| buckeye | 1 | 1 | $48.56 | $48.56 | $48.56 | 1.0× |
| mclaren commercial ins | 1 | 1 | $97.00 | $97.00 | $97.00 | 1.0× |
| u of m health plan | 1 | 1 | $85.23 | $85.23 | $85.23 | 1.0× |
| Molina | 1 | 1 | $47.60 | $47.60 | $47.60 | 1.0× |
| priority health | 1 | 1 | $108.19 | $108.19 | $108.19 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Twin City Hospital | Dennison | OH | 16 | $140.00 | $69.44 | $47.60 | $79.00 | $127.40 |
| St. Lukes Hospital | Maumee | OH | 9 | $358.00 | $179.00 | $52.40 | $75.96 | $113.01 |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $195.00 | $146.25 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $229.00 | $114.50 | — | — | — |
| Barnesville Hospital | Barnesville | OH | 0 | $229.00 | $114.50 | — | — | — |
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.