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Initial hospital care, low complexity

CPT 99221 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$67.66
Median
$78.9
Max
$93
Range multiplier
1.4×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield117$81.1$164.65$226.812.8×
Medicare Advantage16$68.93$81.1$81.11.2×
UnitedHealthcare16$54.17$87.88$259.24.8×
Humana25$74.4$79.61$80.731.1×
Molina14$56.99$137.64$167.42.9×
Aetna34$72.79$85.67$259.23.6×
community health network of wa [1055]13$117.03$137.64$137.641.2×
asuris truadvantage [4011]13$68.94$81.1$81.11.2×
Multiplan23$62.37$74.84$98.591.6×
chp advantage [4001]13$79.05$93$931.2×
Ambetter13$82.16$219.35$258.063.1×
wellpoint [6009]12$40.05$76.19$112.322.8×
ameriben [8000]12$92.43$175.82$259.22.8×
Cigna12$92.43$175.82$259.22.8×
first choice [8009]12$92.43$175.82$259.22.8×
first choice generic [8999]12$92.43$175.82$259.22.8×
First Health12$92.43$175.82$259.22.8×
Kaiser Permanente12$92.43$175.82$259.22.8×
mega life [8005]12$92.43$175.82$259.22.8×
mid west natl life [8006]12$92.43$175.82$259.22.8×
mutual of omaha [8007]12$92.43$175.82$259.22.8×
mva progressive [1027]12$98.59$187.54$276.482.8×
mva state farm [1028]12$98.59$187.54$276.482.8×
pacific source [8008]12$92.43$175.82$259.22.8×
pacific source administrators [8010]12$92.43$175.82$259.22.8×
GEHA11$92.43$92.43$92.431.0×
coordinated care [6007]11$58.64$58.64$58.641.0×
mva farmers [1026]11$98.59$98.59$98.591.0×
chp [6000]11$58.88$58.88$58.881.0×
the health plan11$62.54$62.54$62.541.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WENATCHEE VALLEY HOSPITALWENATCHEEWA29$288$259.2$40.05$93$276.48
VALLEY MEDICAL CENTERRENTONWA3$272$62.37$78.9$80.73
EAST ADAMS RURAL HOSPITALRITZVILLEWA2$162$97.2$62.54$67.66$72.79

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.