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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in MN

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Hospitals
17
Min
$149.45
Median
$397.19
Max
$475.63
Range multiplier
3.2×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11540$98.99$395.26$535.445.4×
sanford health plan12217$76.72$306.11$347.74.5×
security health plan11214$95.08$379.38$424.864.5×
First Health13205$106.81$426.16$477.244.5×
wisconsin physician services11203$117.23$467.74$523.84.5×
Multiplan12203$110.71$441.76$494.74.5×
private healthcare systems11201$110.71$441.77$494.74.5×
medica12147$96.7$409.93$575.175.9×
health partners12137$89.46$486.46$1,079.6412.1×
Blue Cross Blue Shield1697$63.41$413.87$2,966.7646.8×
ucare1247$91.16$148.97$332.043.6×
UnitedHealthcare1645$119.44$351.38$540.644.5×
optum432$96.81$336.62$374.663.9×
primewest1122$89.45$104.45$119.441.3×
itasca medical care1122$89.45$104.45$119.441.3×
Humana320$131.76$337.35$338.652.6×
emerging therapies118$317.44$332.43$333.441.1×
south country health alliance918$89.45$104.45$119.441.3×
Cigna118$277.76$290.97$291.761.1×
interlink117$372$389.67$390.751.1×
Aetna117$337.28$353.3$354.281.1×
WellCare1111$119.44$119.44$119.441.0×
hennepin health910$101.08$101.08$101.081.0×
Medicaid35$87.9$149.53$171.41.9×
Medicare35$124.41$143.08$149.361.2×
commercial | sanford health plan | all plans13$382.85$601.35$607.051.6×
commercial | health partners | all plans13$353.84$555.78$561.051.6×
commercial | preferred one | ppo12$588.69$591.48$594.271.0×
medica [900156]22$348.35$433.18$518.011.5×
hp11$255$255$2551.0×
commercial | preferred one | all other plans11$225.81$225.81$225.811.0×
blue plus11$87.9$87.9$87.91.0×
healthpartners [900713]11$317.56$317.56$317.561.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
RANGE REGIONAL HEALTH SERVICESHIBBINGMN16$582$247.35$89.45$475.63$2,966.76
GRAND ITASCA CLINIC AND HOSPITALGRAND RAPIDSMN15$582$247.35$89.45$465.94$1,815.42
ST. JOSEPHS AREA HEALTH SERVICESPARK RAPIDSMN8$639$395.55$147.65$428.99$607.05
FAIRVIEW LAKES REGIONAL MEDICAL CTRWYOMINGMN17$521$326.67$89.45$407.64$1,079.64
FAIRVIEW SOUTHDALE HOSPITALEDINAMN18$521$326.67$89.45$406.72$1,079.64
FAIRVIEW NORTHLAND REGPRINCETONMN18$521$326.67$89.45$406.69$1,079.64
M HEALTH FAIRVIEW BETHESDA HOSPITALST PAULMN17$527.6$224.23$76.72$397.19$1,079.64
HEALTHEAST ST JOSEPHS HOSPITALST PAULMN17$527.6$224.23$76.72$397.19$1,079.64
FAIRVIEW RIDGES HOSPITALBURNSVILLEMN17$527.6$224.23$76.72$397.19$1,079.64
HEALTHEAST ST JOHNS HOSPITALMAPLEWOODMN17$527.6$224.23$76.72$397.19$1,079.64
HEALTHEAST WOODWINDS HOSPITALWOODBURYMN17$527.6$224.23$76.72$397.19$1,079.64
UNIVERSITY OF MINNESOTA MEDICAL CTRMINNEAPOLISMN23$521$326.67$89.45$379.98$1,079.64
COMMUNITY MEMORIAL HOSPITALCLOQUETMN1$255$170.85$255$255$255
JOHNSON MEMORIAL HOSPITALDAWSONMN4$398.61$338.82$87.9$228.7$366.72
ST. GABRIELS HOSPITALLITTLE FALLSMN8$366$212.28$109.8$208.62$347.7
REGIONS HOSPITALST PAULMN6$581$151.06$124.41$199.08$540.64
OLIVIA HOSPITAL AND CLINICSOLIVIAMN7$364$222.04$63.41$149.45$353.33

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.