Negotiated rates published by hospitals for beacon health options across 2 states. Data sourced from federally-mandated machine-readable files.
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 2 | $34 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 2 | $38 |
| Initial hospital care, low complexity | CPT | 99221 | 2 | $50 |
| Hospital discharge, <30 min | CPT | 99238 | 2 | $44.33 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 2 | $130 |
| Psychiatric eval with medical services | CPT | 90792 | 2 | $130 |
| Psychotherapy 30 minutes | CPT | 90832 | 2 | $45 |
| Psychotherapy 45 minutes | CPT | 90834 | 2 | $83.33 |
| Psychotherapy 60 minutes | CPT | 90837 | 2 | $83.33 |
States with hospitals publishing rates for beacon health options.
| State | Hospitals | Avg rate |
|---|---|---|
| OK | 1 | $71.55 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Henry Ford Rochester Hospital | — | — | $63.26 |
| Parkside Hospital Inc. | Tulsa | OK | $71.55 |
