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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in MN

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Hospitals
17
Min
$199.48
Median
$566.96
Max
$629.10
Range multiplier
3.2×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
america's ppo11509$151.70$566.07$713.004.7×
sanford health plan12192$117.56$438.17$464.554.0×
security health plan11192$145.71$543.07$565.753.9×
Multiplan12183$169.66$632.40$658.753.9×
First Health13183$163.67$610.08$684.804.2×
private healthcare systems11181$169.66$632.40$658.753.9×
wisconsin physician services11180$179.64$669.60$697.503.9×
medica12147$129.02$546.45$766.695.9×
health partners12137$119.35$647.30$1,436.6412.0×
Blue Cross Blue Shield1697$77.17$538.57$4,380.9656.8×
ucare1247$121.63$199.03$443.223.6×
UnitedHealthcare1645$159.43$515.77$793.585.0×
optum438$129.17$482.01$552.904.3×
Humana427$129.74$482.25$484.903.7×
interlink124$149.70$557.20$559.503.7×
Cigna124$111.78$416.05$417.763.7×
emerging therapies124$127.74$475.48$477.443.7×
Aetna124$135.73$505.19$507.283.7×
primewest1122$119.35$139.39$159.431.3×
itasca medical care1122$119.35$139.39$159.431.3×
south country health alliance918$119.35$139.39$159.431.3×
WellCare1111$159.43$159.43$159.431.0×
hennepin health910$134.87$134.87$134.871.0×
Medicare35$166.07$190.98$218.051.3×
Medicaid35$118.08$199.59$252.522.1×
commercial | sanford health plan | all plans13$550.05$747.65$884.451.6×
commercial | health partners | all plans13$508.37$690.99$817.421.6×
medica [900156]22$423.95$557.23$690.511.6×
commercial | preferred one | ppo12$731.91$798.87$865.831.2×
blue plus11$118.08$118.08$118.081.0×
hp11$360.00$360.00$360.001.0×
healthpartners [900713]11$386.48$386.48$386.481.0×
commercial | preferred one | all other plans11$333.45$333.45$333.451.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Grand Itasca Clinic And HospitalGrand RapidsMN15$775.00$329.38$119.35$629.10$2,680.80
Range Regional Health ServicesHibbingMN16$775.00$329.38$119.35$600.45$4,380.96
St. Josephs Area Health ServicesPark RapidsMN8$931.00$576.29$218.05$589.01$884.45
Fairview Southdale HospitalEdinaMN18$746.00$467.75$119.35$576.14$1,436.64
M Health Fairview Bethesda HospitalSt PaulMN17$746.00$317.05$119.35$566.96$1,436.64
Fairview Lakes Regional Medical CtrWyomingMN17$746.00$467.75$119.35$566.96$1,436.64
Healtheast St Josephs HospitalSt PaulMN17$746.00$317.05$119.35$566.96$1,436.64
Fairview Ridges HospitalBurnsvilleMN17$746.00$317.05$119.35$566.96$1,436.64
Healtheast St Johns HospitalMaplewoodMN17$746.00$317.05$119.35$566.96$1,436.64
Healtheast Woodwinds HospitalWoodburyMN17$746.00$317.05$119.35$566.96$1,436.64
Fairview Northland RegPrincetonMN18$746.00$467.75$119.35$566.81$1,436.64
University Of Minnesota Medical CtrMinneapolisMN23$746.00$467.75$111.78$543.11$1,436.64
Community Memorial HospitalCloquetMN1$360.00$241.20$360.00$360.00$360.00
Johnson Memorial HospitalDawsonMN5$587.10$499.04$118.08$339.47$540.13
St. Gabriels HospitalLittle FallsMN8$489.00$283.62$146.70$278.73$464.55
Regions HospitalSt PaulMN6$856.00$222.56$166.07$276.46$793.58
Olivia Hospital And ClinicsOliviaMN7$443.00$270.23$77.17$199.48$430.02

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.