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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in OH

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Hospitals
5
Min
$155
Median
$158.79
Max
$158.79
Range multiplier
1.0×

By payer (22 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28$97.11$155$178.91.8×
UnitedHealthcare26$97.11$192.14$254.82.6×
healthsmart14$154$238$2381.5×
Anthem BCBS14$95.2$225.26$234.362.5×
medical mutual13$95.2$193.2$204.42.1×
Humana23$96.16$140$154.911.6×
aultcare13$95.2$109.2$134.41.4×
Medicare13$154.91$154.91$158.011.0×
summacare13$95.2$238$2382.5×
Medicaid12$110.12$112.32$114.521.0×
the health plan12$95.2$154.84$214.482.3×
Cigna12$243.6$243.6$243.61.0×
ohio health choice12$196$196$1961.0×
ohio preferred network12$210$224$2381.1×
CareSource11$97.11$97.11$97.111.0×
First Health11$218.4$218.4$218.41.0×
Blue Cross Blue Shield11$200.85$200.85$200.851.0×
buckeye11$97.11$97.11$97.111.0×
mclaren commercial ins11$181$181$1811.0×
u of m health plan11$178.15$178.15$178.151.0×
Molina11$95.2$95.2$95.21.0×
priority health11$226.05$226.05$226.051.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ST. LUKES HOSPITALMAUMEEOH9$675$337.5$110.12$158.79$226.05
TWIN CITY HOSPITALDENNISONOH16$280$138.88$95.2$155$254.8
HENRY COUNTY HOSPITAL (CAH)NAPOLEONOH0$409$306.75
HARRISON COMMUNITY HOSPITALCADIZOH0$418$209
BARNESVILLE HOSPITALBARNESVILLEOH0$418$209

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.