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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in OH

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Hospitals
5
Min
$110
Median
$119.43
Max
$119.43
Range multiplier
1.1×

By payer (23 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28$69.36$105$134.321.9×
UnitedHealthcare26$69.36$136.22$1822.6×
healthsmart14$110$170$1701.5×
Anthem BCBS14$68$160.9$167.42.5×
aultcare13$68$78$961.4×
Humana23$68.68$100$115.951.7×
medical mutual13$68$138$1462.1×
Medicare13$115.95$115.95$118.271.0×
summacare13$68$170$1702.5×
Medicaid12$82.64$84.3$85.951.0×
the health plan12$68$110.6$153.22.3×
Cigna12$174$174$1741.0×
ohio health choice12$140$140$1401.0×
ohio preferred network12$150$160$1701.1×
priority health11$170.65$170.65$170.651.0×
CareSource11$69.36$69.36$69.361.0×
First Health11$156$156$1561.0×
buckeye11$69.36$69.36$69.361.0×
hap - hmo11$127.37$127.37$127.371.0×
Blue Cross Blue Shield11$150.74$150.74$150.741.0×
mclaren commercial ins11$128$128$1281.0×
u of m health plan11$133.34$133.34$133.341.0×
Molina11$68$68$681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. LUKES HOSPITALMAUMEEOH10$520$260$82.64$119.43$170.65
TWIN CITY HOSPITALDENNISONOH16$200$99.2$68$110$182
HENRY COUNTY HOSPITAL (CAH)NAPOLEONOH0$307$230.25
HARRISON COMMUNITY HOSPITALCADIZOH0$288$144
BARNESVILLE HOSPITALBARNESVILLEOH0$288$144

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.