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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in IA

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Hospitals
25
Min
$284.90
Median
$284.90
Max
$534.72
Range multiplier
1.9×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1666$158.40$284.90$529.153.3×
UnitedHealthcare1650$166.32$452.74$545.863.3×
Aetna1442$158.40$396.74$404.672.6×
medica218$194.95$506.87$534.722.7×
Humana1616$158.40$166.32$239.511.5×
Cigna1414$335.48$335.48$335.481.0×
health partners open network1414$336.33$336.33$336.331.0×
amerivantage1111$158.40$166.32$166.321.0×
Molina1010$161.57$161.57$161.571.0×
bc illinois community28$159.40$380.24$570.723.6×
greater omaha packing28$534.72$534.72$534.721.0×
millard public schools28$534.72$534.72$534.721.0×
midlands choice28$534.72$534.72$534.721.0×
one world28$534.72$534.72$534.721.0×
phcs24$545.86$545.86$545.861.0×
Multiplan24$545.86$545.86$545.861.0×
timpte24$534.72$534.72$534.721.0×
amerigroup24$204.70$244.31$251.491.2×
quiktrip24$534.72$534.72$534.721.0×
Centene23$198.85$244.31$244.311.2×
Ambetter22$158.40$158.40$158.401.0×
great plains22$204.70$228.10$251.491.2×
health alliance22$158.40$158.40$158.401.0×
iamolina22$249.10$249.10$249.101.0×
amps22$432.79$482.26$531.721.2×
meridian health plan22$166.32$166.32$166.321.0×
pace22$194.95$217.23$239.511.2×
meridian11$166.32$166.32$166.321.0×
medical associates health plan11$277.20$277.20$277.201.0×
iowa health11$166.32$166.32$166.321.0×
total care11$244.31$244.31$244.311.0×
dean health plan11$416.76$416.76$416.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Chi Health - Missouri ValleyMissouri ValleyIA19$557.00$272.93$194.95$534.72$545.86
Chi Health Mercy CorningCorningIA18$557.00$267.36$239.51$534.72$545.86
Trinity Regional Medical CenterFort DodgeIA6$453.00$362.40$158.40$284.90$452.74
Iowa Lutheran HospitalDes MoinesIA8$453.00$362.40$158.40$284.90$452.74
St. Lukes Methodist HospitalCedar RapidsIA8$453.00$362.40$158.40$284.90$452.74
Iowa Methodist Medical CenterDes MoinesIA8$453.00$362.40$158.40$284.90$452.74
Trinity BettendorfBettendorfIA9$453.00$362.40$158.40$284.90$452.74
Allen Memorial HospitalWaterlooIA8$453.00$362.40$158.40$284.90$452.74
The Finley HospitalDubuqueIA12$453.00$362.40$158.40$284.90$570.72
St. Lukes Regl Medical CenterSioux CityIA8$453.00$362.40$158.40$284.90$452.74
Grinnell Regional Medical CenterGrinnellIA8$453.00$362.40$158.40$284.90$452.74
Grundy County Mem. HospitalGrundy CenterIA8$453.00$362.40$158.40$284.90$452.74
Unitypoint Health-MarshalltownMarshalltownIA8$453.00$362.40$158.40$284.90$452.74
Trinity MuscatineMuscatineIA10$453.00$362.40$158.40$284.90$570.72
Jones Regional Medical CtrAnamosaIA8$453.00$362.40$158.40$284.90$452.74
Community Mem. Hospt. SummerSumnerIA8$453.00$362.40$158.40$284.90$452.74
Mercy Hospital Iowa CityIowa CityIA0$483.00$231.84
Loring HospitalSac CityIA0$356.00$284.80
Mitchell County Regional Health CentOsageIA0$469.20$422.28
Greene County Medical CenterJeffersonIA0$820.00$459.20
Regional Health Services Of Howard CCrescoIA0$704.00
Story County HospitalNevadaIA0$898.00$718.40
Peoples Memorial HospitalIndependenceIA0$461.18$392.00
Spencer Municipal HospitalSpencerIA0$454.58$340.94
Stewart Memorial HospitalLake CityIA0$706.00$564.00

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.