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Initial hospital care, low complexity
CPT 99221 · negotiated-rate distribution across hospitals in OK
Hospitals
3
Min
$93.50
Median
$94.88
Max
$112.11
Range multiplier
1.2×
By payer (24 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 4 | $101.00 | $113.30 | $131.11 | 1.3× |
| Aetna | 3 | 4 | $89.80 | $105.12 | $139.03 | 1.5× |
| First Health | 3 | 4 | $97.75 | $107.62 | $120.00 | 1.2× |
| Humana | 2 | 3 | $62.10 | $76.00 | $89.80 | 1.4× |
| community care | 1 | 3 | $78.41 | $78.41 | $78.41 | 1.0× |
| healthcare highways | 1 | 2 | $50.60 | $62.68 | $74.75 | 1.5× |
| Cigna | 2 | 2 | $72.00 | $87.75 | $103.50 | 1.4× |
| magellan | 1 | 2 | $120.00 | $120.00 | $120.00 | 1.0× |
| preferred community choice | 2 | 2 | $105.80 | $110.95 | $116.09 | 1.1× |
| health care solutions group | 1 | 1 | $117.38 | $117.38 | $117.38 | 1.0× |
| health choice | 1 | 1 | $94.08 | $94.08 | $94.08 | 1.0× |
| health scope | 1 | 1 | $86.95 | $86.95 | $86.95 | 1.0× |
| care atc | 1 | 1 | $95.00 | $95.00 | $95.00 | 1.0× |
| healthsmart | 1 | 1 | $108.10 | $108.10 | $108.10 | 1.0× |
| beacon health options | 1 | 1 | $50.00 | $50.00 | $50.00 | 1.0× |
| TRICARE | 1 | 1 | $89.88 | $89.88 | $89.88 | 1.0× |
| medica | 1 | 1 | $48.30 | $48.30 | $48.30 | 1.0× |
| oklahoma complete health | 1 | 1 | $89.80 | $89.80 | $89.80 | 1.0× |
| oklahoma health network (ohn) | 1 | 1 | $92.00 | $92.00 | $92.00 | 1.0× |
| optum | 1 | 1 | $79.19 | $79.19 | $79.19 | 1.0× |
| osma health | 1 | 1 | $103.50 | $103.50 | $103.50 | 1.0× |
| UnitedHealthcare | 1 | 1 | $78.20 | $78.20 | $78.20 | 1.0× |
| choctaw nation | 1 | 1 | $93.50 | $93.50 | $93.50 | 1.0× |
| friday health plan | 1 | 1 | $57.50 | $57.50 | $57.50 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Jefferson County Hospital | Waurika | OK | 12 | $115.00 | $40.36 | $48.30 | $94.88 | $108.10 |
| Parkside Hospital Inc. | Tulsa | OK | 17 | $105.00 | $53.00 | $50.00 | $93.50 | $139.03 |
| Nowata Health Center | Nowata | OK | 2 | — | — | $111.73 | $112.11 | $112.48 |
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.