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Initial hospital care, moderate complexity
CPT 99222 · negotiated-rate distribution across hospitals in OH
Hospitals
5
Min
$110.00
Median
$119.43
Max
$119.43
Range multiplier
1.1×
By payer (23 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 2 | 8 | $69.36 | $105.00 | $134.32 | 1.9× |
| UnitedHealthcare | 2 | 6 | $69.36 | $136.22 | $182.00 | 2.6× |
| healthsmart | 1 | 4 | $110.00 | $170.00 | $170.00 | 1.5× |
| Anthem BCBS | 1 | 4 | $68.00 | $160.90 | $167.40 | 2.5× |
| aultcare | 1 | 3 | $68.00 | $78.00 | $96.00 | 1.4× |
| Humana | 2 | 3 | $68.68 | $100.00 | $115.95 | 1.7× |
| medical mutual | 1 | 3 | $68.00 | $138.00 | $146.00 | 2.1× |
| Medicare | 1 | 3 | $115.95 | $115.95 | $118.27 | 1.0× |
| summacare | 1 | 3 | $68.00 | $170.00 | $170.00 | 2.5× |
| Medicaid | 1 | 2 | $82.64 | $84.30 | $85.95 | 1.0× |
| the health plan | 1 | 2 | $68.00 | $110.60 | $153.20 | 2.3× |
| Cigna | 1 | 2 | $174.00 | $174.00 | $174.00 | 1.0× |
| ohio health choice | 1 | 2 | $140.00 | $140.00 | $140.00 | 1.0× |
| ohio preferred network | 1 | 2 | $150.00 | $160.00 | $170.00 | 1.1× |
| priority health | 1 | 1 | $170.65 | $170.65 | $170.65 | 1.0× |
| CareSource | 1 | 1 | $69.36 | $69.36 | $69.36 | 1.0× |
| First Health | 1 | 1 | $156.00 | $156.00 | $156.00 | 1.0× |
| buckeye | 1 | 1 | $69.36 | $69.36 | $69.36 | 1.0× |
| hap - hmo | 1 | 1 | $127.37 | $127.37 | $127.37 | 1.0× |
| Blue Cross Blue Shield | 1 | 1 | $150.74 | $150.74 | $150.74 | 1.0× |
| mclaren commercial ins | 1 | 1 | $128.00 | $128.00 | $128.00 | 1.0× |
| u of m health plan | 1 | 1 | $133.34 | $133.34 | $133.34 | 1.0× |
| Molina | 1 | 1 | $68.00 | $68.00 | $68.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Lukes Hospital | Maumee | OH | 10 | $520.00 | $260.00 | $82.64 | $119.43 | $170.65 |
| Twin City Hospital | Dennison | OH | 16 | $200.00 | $99.20 | $68.00 | $110.00 | $182.00 |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $307.00 | $230.25 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $288.00 | $144.00 | — | — | — |
| Barnesville Hospital | Barnesville | OH | 0 | $288.00 | $144.00 | — | — | — |
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.