▸ Compare · PriceTransparency

Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in NC

← Back to search results↓ Download CSV
Hospitals
21
Min
$62
Median
$162.48
Max
$1,526.92
Range multiplier
24.6×

By payer (49 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
bcbsfl9144$62$70$721.2×
Aetna21122$16.45$80$4,135251.4×
Blue Cross Blue Shield2181$12.6$63.77$1,917.84152.2×
UnitedHealthcare2170$12.6$169.41$9,368743.5×
medcost1836$71$258.37$422.746.0×
Cigna2135$38.7$160.87$8,548220.9×
Humana2029$72$164.09$165.72.3×
WellCare1919$12.6$160.87$181.3514.4×
amerihealth1011$12.6$18.94$2,024160.6×
vaya99$181.35$181.35$181.351.0×
employers choice network99$97$97$971.0×
amerihealth caritas99$181.35$181.35$181.351.0×
amps99$55$55$651.2×
healthy blue99$181.35$181.35$181.351.0×
phcs99$75$75$901.2×
plotkin health99$60$60$601.0×
CareSource99$33$33$401.2×
alliance99$183.14$183.14$183.141.0×
three rivers provider network99$97$97$971.0×
carolina complete99$12.35$18.17$38.553.1×
trillium99$179.55$179.55$181.351.0×
carolina complete health99$181.35$181.35$181.351.0×
choicecare99$324.64$324.64$324.641.0×
atlantic corporation dba atlantic packaging99$46$46$56.51.2×
Multiplan99$75$75$901.2×
nc department of public safety99$12.35$18.17$38.553.1×
partners99$179.55$181.35$181.351.0×
ortho carolina48$201.09$201.09$201.091.0×
primary physician care88$74$74$881.2×
Ambetter44$30$340.65$340.6511.4×
beechstreet22$90$90$901.0×
devoted health22$158.47$162.89$167.31.1×
orthocarolina12$201.09$201.09$201.091.0×
wellpoint11$1,136$1,136$1,1361.0×
carolina caring11$377.31$377.31$377.311.0×
corporate benefits service11$405.99$405.99$405.991.0×
Emblem Health11$5,835$5,835$5,8351.0×
First Health11$60$60$601.0×
healthteam11$158.47$158.47$158.471.0×
liberty11$164.09$164.09$164.091.0×
longevity health11$158.47$158.47$158.471.0×
Molina11$158.47$158.47$158.471.0×
qualcare inc11$800.95$800.95$800.951.0×
Self-Pay (Cash)11$18.77$18.77$18.771.0×
surgery plus11$264.12$264.12$264.121.0×
transformhealth11$80$80$801.0×
troy11$160.87$160.87$160.871.0×
va communicare care11$160.87$160.87$160.871.0×
vaya health11$162.48$162.48$162.481.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
THOMASVILLE MEDICAL CENTERTHOMASVILLENC20$18.17$69.35$97
FORSYTH MEMORIAL HOSPITAL INCWINSTON SALEMNC21$18.57$68.7$97
MEDICAL PARK HOSPITALWINSTON-SALEMNC21$23.71$68.7$97
BRUNSWICK COMMUNITY HOSPITALBOLIVIANC21$14.08$62.2$97
PRESBYTERIAN HOSPITALCHARLOTTENC20$17.42$62$97
PRESBYTERIAN HOSPITAL HUNTERSVILLEHUNTERSVILLENC20$12.35$62$97
PRESBYTERIAN HOSPITAL MATTHEWSMATTHEWSNC20$13.01$62$97
NOVANT HEALTH MINT HILL MEDICAL CTRCHARLOTTENC20$32.4$62$97
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC20$20.39$62$97
ATRIUM HEALTH LINCOLNLINCOLNTONNC17$160.87$182.25$518.92
CAROLINAS MEDICAL CENTERCHARLOTTENC16$160.87$181.35$518.92
ATRIUM HEALTH CLEVELANDSHELBYNC15$160.87$181.35$518.92
ATRIUM HEALTH KINGS MOUNTAINKINGS MOUNTAINNC15$160.87$181.35$518.92
ATRIUM HEALTH ANSONWADESBORONC16$160.87$181.35$518.92
ATRIUM HEALTH PINEVILLECHARLOTTENC16$160.87$181.35$518.92
ATRIUM HEALTH CABARRUSCONCORDNC16$160.87$181.35$518.92
ATRIUM HEALTH STANLYALBEMARLENC16$160.87$181.35$518.92
ATRIUM HEALTH UNIONMONROENC16$160.87$181.35$518.92
COLUMBUS REGIONAL HEALTHCARE SYSTEMWHITEVILLENC11$160.87$162.48$168.91
GASTON MEMORIAL HOSPITALGASTONIANC12$150.93$158.47$405.99
NEW HANOVER REGIONAL MEDICAL CENTERWILMINGTONNC10$15.02$1,526.92$9,368

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.