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Initial hospital care, moderate complexity
CPT 99222 · negotiated-rate distribution across hospitals in MD
Hospitals
3
Min
$143.3
Median
$257.68
Max
$288.16
Range multiplier
2.0×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 2 | 14 | $122.7 | $176.76 | $360.4 | 2.9× |
| johns hopkins [213] | 1 | 7 | $135.98 | $135.98 | $182.21 | 1.3× |
| UnitedHealthcare | 2 | 7 | $135.98 | $143.81 | $200 | 1.5× |
| Aetna | 2 | 7 | $126.53 | $143.81 | $450.5 | 3.6× |
| Cigna | 2 | 5 | $135.98 | $176.89 | $315.35 | 2.3× |
| Multiplan | 1 | 4 | $135.98 | $146.18 | $156.38 | 1.2× |
| Kaiser Permanente | 1 | 3 | $186.29 | $191.73 | $191.73 | 1.0× |
| Humana | 2 | 3 | $135.15 | $135.98 | $135.98 | 1.0× |
| First Health | 1 | 2 | $176.77 | $176.77 | $176.77 | 1.0× |
| communicare advantage [300] | 1 | 2 | $135.98 | $135.98 | $135.98 | 1.0× |
| cfchp mco [239] | 1 | 2 | $135.98 | $135.98 | $135.98 | 1.0× |
| keycare advantage [299] | 1 | 2 | $135.98 | $135.98 | $135.98 | 1.0× |
| Medicaid | 1 | 2 | $127.82 | $127.82 | $127.82 | 1.0× |
| Medicare | 1 | 2 | $135.98 | $135.98 | $135.98 | 1.0× |
| provider partners health plan [298] | 1 | 2 | $135.98 | $135.98 | $135.98 | 1.0× |
| usa managed care organization [301] | 1 | 2 | $208.05 | $208.05 | $208.05 | 1.0× |
| jai medical services [236] | 1 | 1 | $151 | $151 | $151 | 1.0× |
| medstar family | 1 | 1 | $143.81 | $143.81 | $143.81 | 1.0× |
| alterwood health [290] | 1 | 1 | $146.69 | $146.69 | $146.69 | 1.0× |
| priority partners [241] | 1 | 1 | $143.81 | $143.81 | $143.81 | 1.0× |
| md physician care [237] | 1 | 1 | $143.81 | $143.81 | $143.81 | 1.0× |
| wellpoint [235] | 1 | 1 | $143.81 | $143.81 | $143.81 | 1.0× |
| all payors | 1 | 1 | $288.16 | $288.16 | $288.16 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| TIDALHEALTH PENINSULA REGIONAL INC | SALISBURY | MD | 1 | $288.16 | $282.4 | $288.16 | $288.16 | $288.16 |
| KENNEDY KRIEGER | BALTIMORE | MD | 6 | $901 | $720.8 | $135.15 | $257.68 | $450.5 |
| GREATER BALTIMORE MEDICAL CENTER | TOWSON | MD | 21 | $265 | $265 | $122.7 | $143.3 | $208.05 |
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.