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Initial hospital care, moderate complexity
CPT 99222 · negotiated-rate distribution across hospitals in GA
Hospitals
4
Min
$106.21
Median
$119.04
Max
$175.03
Range multiplier
1.6×
By payer (15 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 3 | 5 | $106.21 | $243.90 | $266.35 | 2.5× |
| Blue Cross Blue Shield | 2 | 4 | $119.04 | $147.38 | $230.63 | 1.9× |
| UnitedHealthcare | 2 | 4 | $1.00 | $174.89 | $235.77 | 235.8× |
| Cigna | 2 | 4 | $1.00 | $233.47 | $319.62 | 319.6× |
| Medicaid | 1 | 4 | $1.00 | $59.15 | $189.46 | 189.5× |
| Humana | 2 | 2 | $114.00 | $184.91 | $255.82 | 2.2× |
| Health Net | 1 | 2 | $114.00 | $188.44 | $262.87 | 2.3× |
| mercy care | 1 | 1 | $119.70 | $119.70 | $119.70 | 1.0× |
| evernorth behavioral health | 1 | 1 | $112.11 | $112.11 | $112.11 | 1.0× |
| arizona complete health | 1 | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| banner health | 1 | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| care 1st | 1 | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| acchs | 1 | 1 | $114.00 | $114.00 | $114.00 | 1.0× |
| First Health | 1 | 1 | $257.45 | $257.45 | $257.45 | 1.0× |
| health choice | 1 | 1 | $119.70 | $119.70 | $119.70 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| West Central Ga Regional Hospital | Columbus | GA | 13 | $271.00 | $201.09 | $114.00 | $175.03 | $262.87 |
| Dodge County Hospital | Eastman | GA | 5 | $355.13 | — | $1.00 | $119.04 | $319.62 |
| St. Marys Sacred Heart Hospital | Lavonia | GA | 1 | — | — | $112.11 | $112.11 | $112.11 |
| Southern Regional Medical Center | Riverdale | GA | 2 | $321.30 | — | $106.21 | $106.21 | $255.82 |
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.