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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in GA

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Hospitals
4
Min
$156.04
Median
$174.72
Max
$242.21
Range multiplier
1.6×

By payer (15 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna35$156.40$344.70$390.922.5×
Blue Cross Blue Shield24$174.72$216.31$325.941.9×
UnitedHealthcare24$1.00$242.26$333.21333.2×
Cigna24$1.00$329.96$469.11469.1×
Medicaid14$1.00$86.81$278.08278.1×
Humana22$151.30$244.91$338.522.2×
Health Net12$151.30$261.41$371.512.5×
mercy care11$158.87$158.87$158.871.0×
evernorth behavioral health11$156.04$156.04$156.041.0×
arizona complete health11$151.30$151.30$151.301.0×
banner health11$151.30$151.30$151.301.0×
care 1st11$151.30$151.30$151.301.0×
acchs11$151.30$151.30$151.301.0×
First Health11$363.85$363.85$363.851.0×
health choice11$158.87$158.87$158.871.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
West Central Ga Regional HospitalColumbusGA13$383.00$284.19$151.30$242.21$371.51
Dodge County HospitalEastmanGA5$521.23$1.00$174.72$469.11
Southern Regional Medical CenterRiverdaleGA2$408.71$156.40$156.40$338.52
St. Marys Sacred Heart HospitalLavoniaGA1$156.04$156.04$156.04

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.