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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$50.09 – $249.60

Negotiated median

$165.10

CPT 99202 Office visit, new patient, 15-29 min · Showing 200 of 202 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	both	gross	$365.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	inpatient	gross	$363.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	outpatient	gross	$363.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	both	gross	$296.00
Carilion Medical Center	VA	Chargemaster	N/A	outpatient	gross	$260.00
Carilion New River Valley Med Center	VA	Chargemaster	N/A	outpatient	gross	$260.00
Carilion Franklin Memorial Hospital	VA	Chargemaster	N/A	outpatient	gross	$260.00
Carilion Tazewell Community Hospital	VA	Chargemaster	N/A	outpatient	gross	$260.00
Carilion Giles Community Hospital	VA	Chargemaster	N/A	outpatient	gross	$260.00
Carilion Stonewall Jackson Hospital	VA	Chargemaster	N/A	outpatient	gross	$260.00
Childrens Hospital Of The Kings Da	VA	Chargemaster	N/A	outpatient	gross	$161.00
Childrens Hospital Of The Kings Da	VA	Chargemaster	N/A	outpatient	gross	$156.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$131.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$94.00
Childrens Hospital Of The Kings Da	VA	Chargemaster	N/A	outpatient	gross	$77.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$73.00
Childrens Hospital Of The Kings Da	VA	Chargemaster	N/A	outpatient	gross	$23.15
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	both	cash	$237.25
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	inpatient	cash	$235.95
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	outpatient	cash	$235.95
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	both	cash	$192.40
Childrens Hospital Of The Kings Da	VA	Cash pay	N/A	outpatient	cash	$144.90
Childrens Hospital Of The Kings Da	VA	Cash pay	N/A	outpatient	cash	$140.40
Carilion Medical Center	VA	Cash pay	N/A	outpatient	cash	$91.00
Carilion New River Valley Med Center	VA	Cash pay	N/A	outpatient	cash	$91.00
Carilion Franklin Memorial Hospital	VA	Cash pay	N/A	outpatient	cash	$91.00
Carilion Tazewell Community Hospital	VA	Cash pay	N/A	outpatient	cash	$91.00
Carilion Giles Community Hospital	VA	Cash pay	N/A	outpatient	cash	$91.00
Carilion Stonewall Jackson Hospital	VA	Cash pay	N/A	outpatient	cash	$91.00
Childrens Hospital Of The Kings Da	VA	Cash pay	N/A	outpatient	cash	$69.30
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$65.50
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$47.00
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$36.50
Childrens Hospital Of The Kings Da	VA	Cash pay	N/A	outpatient	cash	$20.84
Childrens Hospital Of The Kings Da	VA	[De-identified Min]	—	outpatient	min	$273.25
Carilion Medical Center	VA	[De-identified Min]	—	outpatient	min	$55.37
Carilion New River Valley Med Center	VA	[De-identified Min]	—	outpatient	min	$55.37
Carilion Franklin Memorial Hospital	VA	[De-identified Min]	—	outpatient	min	$55.37
Carilion Giles Community Hospital	VA	[De-identified Min]	—	outpatient	min	$55.37
Carilion Stonewall Jackson Hospital	VA	[De-identified Min]	—	outpatient	min	$55.37
Carilion Tazewell Community Hospital	VA	[De-identified Min]	—	outpatient	min	$50.09
Childrens Hospital Of The Kings Da	VA	[De-identified Min]	—	outpatient	min	$35.32
Childrens Hospital Of The Kings Da	VA	[De-identified Min]	—	outpatient	min	$5.32
Carilion Tazewell Community Hospital	VA	national provider network	Commercial	outpatient	negotiated	$249.60
Carilion Medical Center	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion Medical Center	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion New River Valley Med Center	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion New River Valley Med Center	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion Franklin Memorial Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion Franklin Memorial Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion Tazewell Community Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion Tazewell Community Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion Giles Community Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion Giles Community Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion Stonewall Jackson Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$247.00
Carilion Stonewall Jackson Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$247.00
Carilion Medical Center	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion New River Valley Med Center	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion Franklin Memorial Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion Tazewell Community Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion Giles Community Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion Stonewall Jackson Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$234.00
Carilion Tazewell Community Hospital	VA	integrated health plan	Commercial	outpatient	negotiated	$221.00
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$212.52
Carilion Medical Center	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Medical Center	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion New River Valley Med Center	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion New River Valley Med Center	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Franklin Memorial Hospital	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion Franklin Memorial Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Tazewell Community Hospital	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion Tazewell Community Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Giles Community Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Giles Community Hospital	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion Stonewall Jackson Hospital	VA	vhn	Commercial	outpatient	negotiated	$208.00
Carilion Stonewall Jackson Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$208.00
Carilion Medical Center	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion New River Valley Med Center	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion Franklin Memorial Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion Tazewell Community Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion Giles Community Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion Stonewall Jackson Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$200.20
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$187.36
Carilion Medical Center	VA	Cigna	Commercial	outpatient	negotiated	$187.20
Carilion New River Valley Med Center	VA	Cigna	Commercial	outpatient	negotiated	$187.20
Carilion Franklin Memorial Hospital	VA	Cigna	Commercial	outpatient	negotiated	$187.20
Carilion Giles Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$187.20
Carilion Stonewall Jackson Hospital	VA	Cigna	Commercial	outpatient	negotiated	$187.20
Carilion Medical Center	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion New River Valley Med Center	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion Franklin Memorial Hospital	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion Tazewell Community Hospital	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion Giles Community Hospital	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion Stonewall Jackson Hospital	VA	connecticare	Commercial	outpatient	negotiated	$182.00
Carilion Tazewell Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$176.02
Carilion Medical Center	VA	Cigna	Commercial	outpatient	negotiated	$175.24
Carilion New River Valley Med Center	VA	Cigna	Commercial	outpatient	negotiated	$175.24
Carilion Franklin Memorial Hospital	VA	Cigna	Commercial	outpatient	negotiated	$175.24
Carilion Giles Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$175.24
Carilion Stonewall Jackson Hospital	VA	Cigna	Commercial	outpatient	negotiated	$175.24
Carilion Medical Center	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion New River Valley Med Center	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion Franklin Memorial Hospital	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion Tazewell Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion Giles Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion Stonewall Jackson Hospital	VA	Aetna	Commercial	outpatient	negotiated	$172.64
Carilion Tazewell Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$165.10
Carilion Medical Center	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Medical Center	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion New River Valley Med Center	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion New River Valley Med Center	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Franklin Memorial Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion Franklin Memorial Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Tazewell Community Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Tazewell Community Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion Giles Community Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Giles Community Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion Stonewall Jackson Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$161.20
Carilion Stonewall Jackson Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$161.20
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$148.64
Carilion Medical Center	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion New River Valley Med Center	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion Franklin Memorial Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion Tazewell Community Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion Giles Community Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion Stonewall Jackson Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$143.00
Carilion Medical Center	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion New River Valley Med Center	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion Franklin Memorial Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion Tazewell Community Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion Giles Community Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion Stonewall Jackson Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$134.68
Carilion Medical Center	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion New River Valley Med Center	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion Franklin Memorial Hospital	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion Tazewell Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion Giles Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion Stonewall Jackson Hospital	VA	Aetna	Commercial	outpatient	negotiated	$132.34
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$130.26
Carilion Medical Center	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Medical Center	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Medical Center	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion New River Valley Med Center	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion New River Valley Med Center	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion New River Valley Med Center	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Franklin Memorial Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Franklin Memorial Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Tazewell Community Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Tazewell Community Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Giles Community Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Giles Community Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Giles Community Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Stonewall Jackson Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Stonewall Jackson Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$58.00
Carilion Medical Center	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion New River Valley Med Center	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion Franklin Memorial Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion Tazewell Community Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion Giles Community Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion Stonewall Jackson Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$56.42
Carilion Medical Center	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion New River Valley Med Center	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion Franklin Memorial Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion Tazewell Community Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion Giles Community Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion Stonewall Jackson Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$55.37
Carilion Tazewell Community Hospital	VA	corvel	Disability Management	outpatient	negotiated	$50.09
Childrens Hospital Of The Kings Da	VA	[De-identified Max]	—	outpatient	max	$337.35
Carilion Tazewell Community Hospital	VA	[De-identified Max]	—	outpatient	max	$249.60
Carilion Medical Center	VA	[De-identified Max]	—	outpatient	max	$247.00
Carilion New River Valley Med Center	VA	[De-identified Max]	—	outpatient	max	$247.00
Carilion Franklin Memorial Hospital	VA	[De-identified Max]	—	outpatient	max	$247.00
Carilion Giles Community Hospital	VA	[De-identified Max]	—	outpatient	max	$247.00
Carilion Stonewall Jackson Hospital	VA	[De-identified Max]	—	outpatient	max	$247.00
Childrens Hospital Of The Kings Da	VA	[De-identified Max]	—	outpatient	max	$75.95
Childrens Hospital Of The Kings Da	VA	[De-identified Max]	—	outpatient	max	$21.99
Childrens Hospital Of The Kings Da	VA	[De-identified Max]	—	outpatient	max	$5.48

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).