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Initial hospital care, high complexity

CPT 99223 · negotiated-rate distribution across hospitals in WA

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Hospitals
3
Min
$141.71
Median
$190.52
Max
$206.77
Range multiplier
1.5×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield112$166.79$251.5$472.992.8×
Molina25$119.86$285.79$353.683.0×
Aetna34$152.94$170.86$546.33.6×
Kaiser Permanente24$184.55$283.36$546.33.0×
Medicare Advantage14$171.34$171.34$171.341.0×
UnitedHealthcare14$113.92$180.3$546.34.8×
Multiplan23$131.43$157.72$196.851.5×
Humana23$165.05$168.19$170.621.0×
community health network of wa [1055]12$290.8$290.8$290.81.0×
first choice [8009]12$184.55$365.43$546.33.0×
first choice generic [8999]12$184.55$365.43$546.33.0×
First Health12$184.55$365.43$546.33.0×
chp advantage [4001]12$196.49$196.49$196.491.0×
Cigna12$184.55$365.43$546.33.0×
mva state farm [1028]12$196.85$389.79$582.723.0×
pacific source [8008]12$184.55$365.43$546.33.0×
pacific source administrators [8010]12$184.55$365.43$546.33.0×
asuris truadvantage [4011]12$171.34$171.34$171.341.0×
ameriben [8000]12$184.55$365.43$546.33.0×
wellpoint [6009]12$79.97$158.35$236.733.0×
mega life [8005]12$184.55$365.43$546.33.0×
mid west natl life [8006]12$184.55$365.43$546.33.0×
Ambetter12$164.04$338.79$513.533.1×
mutual of omaha [8007]12$184.55$365.43$546.33.0×
mva progressive [1027]12$196.85$389.79$582.723.0×
GEHA11$184.55$184.55$184.551.0×
the health plan11$130.48$130.48$130.481.0×
mva farmers [1026]11$196.85$196.85$196.851.0×
coordinated care [6007]11$123.33$123.33$123.331.0×
chp [6000]11$123.83$123.83$123.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
VALLEY MEDICAL CENTERRENTONWA5$547$131.43$206.77$295.26
WENATCHEE VALLEY HOSPITALWENATCHEEWA29$607$546.3$79.97$190.52$582.72
EAST ADAMS RURAL HOSPITALRITZVILLEWA2$321$192.6$130.48$141.71$152.94

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.