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Initial hospital care, moderate complexity

CPT 99222 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$106.06
Median
$112.51
Max
$132.35
Range multiplier
1.2×

By payer (31 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield112$112.88$187.81$354.973.1×
Aetna34$106.62$119.62$409.503.8×
Humana24$123.25$126.51$127.421.0×
Medicare Advantage14$127.94$127.94$127.941.0×
UnitedHealthcare14$85.55$128.19$409.504.8×
Molina13$90.01$234.76$264.112.9×
Multiplan23$98.66$118.40$133.231.4×
Cigna12$124.90$267.20$409.503.3×
community health network of wa [1055]12$217.15$217.15$217.151.0×
first choice [8009]12$124.90$267.20$409.503.3×
first choice generic [8999]12$124.90$267.20$409.503.3×
First Health12$124.90$267.20$409.503.3×
asuris truadvantage [4011]12$127.94$127.94$127.941.0×
chp advantage [4001]12$146.73$146.73$146.731.0×
mva progressive [1027]12$133.23$285.02$436.803.3×
mva state farm [1028]12$133.23$285.02$436.803.3×
pacific source [8008]12$124.90$267.20$409.503.3×
pacific source administrators [8010]12$124.90$267.20$409.503.3×
Ambetter12$111.02$229.74$348.453.1×
ameriben [8000]12$124.90$267.20$409.503.3×
Kaiser Permanente12$124.90$267.20$409.503.3×
wellpoint [6009]12$54.12$115.79$177.453.3×
mega life [8005]12$124.90$267.20$409.503.3×
mid west natl life [8006]12$124.90$267.20$409.503.3×
mutual of omaha [8007]12$124.90$267.20$409.503.3×
GEHA11$124.90$124.90$124.901.0×
the health plan11$97.80$97.80$97.801.0×
coordinated care [6007]11$92.62$92.62$92.621.0×
chp [6000]11$92.99$92.99$92.991.0×
allied benefit systems llc [110104]11$106.62$106.62$106.621.0×
mva farmers [1026]11$133.23$133.23$133.231.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Wenatchee Valley HospitalWenatcheeWA29$455.00$409.50$54.12$132.35$436.80
Valley Medical CenterRentonWA4$370.00$98.66$112.51$127.42
East Adams Rural HospitalRitzvilleWA2$222.00$133.20$97.80$106.06$114.33

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.