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Initial hospital care, high complexity
CPT 99223 · negotiated-rate distribution across hospitals in OH
Hospitals
5
Min
$155.00
Median
$158.79
Max
$158.79
Range multiplier
1.0×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 2 | 8 | $97.11 | $155.00 | $178.90 | 1.8× |
| UnitedHealthcare | 2 | 6 | $97.11 | $192.14 | $254.80 | 2.6× |
| healthsmart | 1 | 4 | $154.00 | $238.00 | $238.00 | 1.5× |
| Anthem BCBS | 1 | 4 | $95.20 | $225.26 | $234.36 | 2.5× |
| medical mutual | 1 | 3 | $95.20 | $193.20 | $204.40 | 2.1× |
| Humana | 2 | 3 | $96.16 | $140.00 | $154.91 | 1.6× |
| aultcare | 1 | 3 | $95.20 | $109.20 | $134.40 | 1.4× |
| Medicare | 1 | 3 | $154.91 | $154.91 | $158.01 | 1.0× |
| summacare | 1 | 3 | $95.20 | $238.00 | $238.00 | 2.5× |
| Medicaid | 1 | 2 | $110.12 | $112.32 | $114.52 | 1.0× |
| the health plan | 1 | 2 | $95.20 | $154.84 | $214.48 | 2.3× |
| Cigna | 1 | 2 | $243.60 | $243.60 | $243.60 | 1.0× |
| ohio health choice | 1 | 2 | $196.00 | $196.00 | $196.00 | 1.0× |
| ohio preferred network | 1 | 2 | $210.00 | $224.00 | $238.00 | 1.1× |
| CareSource | 1 | 1 | $97.11 | $97.11 | $97.11 | 1.0× |
| First Health | 1 | 1 | $218.40 | $218.40 | $218.40 | 1.0× |
| Blue Cross Blue Shield | 1 | 1 | $200.85 | $200.85 | $200.85 | 1.0× |
| buckeye | 1 | 1 | $97.11 | $97.11 | $97.11 | 1.0× |
| mclaren commercial ins | 1 | 1 | $181.00 | $181.00 | $181.00 | 1.0× |
| u of m health plan | 1 | 1 | $178.15 | $178.15 | $178.15 | 1.0× |
| Molina | 1 | 1 | $95.20 | $95.20 | $95.20 | 1.0× |
| priority health | 1 | 1 | $226.05 | $226.05 | $226.05 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| St. Lukes Hospital | Maumee | OH | 9 | $675.00 | $337.50 | $110.12 | $158.79 | $226.05 |
| Twin City Hospital | Dennison | OH | 16 | $280.00 | $138.88 | $95.20 | $155.00 | $254.80 |
| Henry County Hospital (Cah) | Napoleon | OH | 0 | $409.00 | $306.75 | — | — | — |
| Harrison Community Hospital | Cadiz | OH | 0 | $418.00 | $209.00 | — | — | — |
| Barnesville Hospital | Barnesville | OH | 0 | $418.00 | $209.00 | — | — | — |
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.