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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

$49.31 – $337.70

Negotiated median

$122.80

CPT 99203 Office visit, new patient, 30-44 minutes · Showing 200 of 434 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Wayne Hospital Company	OH	Chargemaster	N/A	both	gross	$391.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$354.90
Summa Rehab Hospital	OH	Chargemaster	N/A	inpatient	gross	$301.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$300.30
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$291.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$289.80
Trumbull Memorial Hospital	OH	Chargemaster	N/A	outpatient	gross	$250.00
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$198.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$198.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$194.25
Adena Regional Medical Center	OH	Chargemaster	N/A	inpatient	gross	$180.60
Adena Regional Medical Center	OH	Chargemaster	N/A	outpatient	gross	$180.60
Fayette County Memorial Hosp	OH	Chargemaster	N/A	inpatient	gross	$180.60
Fayette County Memorial Hosp	OH	Chargemaster	N/A	outpatient	gross	$180.60
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$178.00
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$178.00
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$176.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$176.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$167.00
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$152.00
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$143.20
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$140.00
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$138.30
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$138.00
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$126.00
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$112.00
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$28.00
Wayne Hospital Company	OH	Cash pay	N/A	both	cash	$293.25
Trumbull Memorial Hospital	OH	Cash pay	N/A	outpatient	cash	$200.00
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$177.45
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$150.15
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$145.50
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$144.90
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$105.00
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$99.00
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$99.00
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$97.13
Adena Regional Medical Center	OH	Cash pay	N/A	inpatient	cash	$90.30
Adena Regional Medical Center	OH	Cash pay	N/A	outpatient	cash	$90.30
Fayette County Memorial Hosp	OH	Cash pay	N/A	inpatient	cash	$90.30
Fayette County Memorial Hosp	OH	Cash pay	N/A	outpatient	cash	$90.30
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$89.00
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$89.00
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$88.00
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$88.00
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$84.00
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$83.50
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$76.00
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$71.60
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$69.20
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$69.00
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$63.00
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$21.00
Barnesville Hospital	OH	[De-identified Min]	—	outpatient	min	$4,513.00
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$225.00
Trumbull Memorial Hospital	OH	[De-identified Min]	—	outpatient	min	$125.00
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$106.47
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$106.40
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$105.00
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$90.09
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$86.94
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$84.00
Fayette County Memorial Hosp	OH	[De-identified Min]	—	inpatient	min	$82.17
Adena Regional Medical Center	OH	[De-identified Min]	—	inpatient	min	$81.96
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$66.16
Adena Regional Medical Center	OH	[De-identified Min]	—	outpatient	min	$64.65
Fayette County Memorial Hosp	OH	[De-identified Min]	—	outpatient	min	$61.40
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$58.28
St. Lukes Hospital	OH	[De-identified Min]	—	outpatient	min	$52.19
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$49.31
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$21.00
Adena Regional Medical Center	OH	sidecar health	Commercial	outpatient	negotiated	$337.70
St. Lukes Hospital	OH	Blue Cross Blue Shield	Blue Cross Blue Shield	both	negotiated	$264.40
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	both	negotiated	$237.63
St. Lukes Hospital	OH	safe response program	Safe Response Program	both	negotiated	$225.00
Adena Regional Medical Center	OH	care source just4me	Commercial	outpatient	negotiated	$221.04
Fayette County Memorial Hosp	OH	sidecar health	Commercial	outpatient	negotiated	$204.08
Adena Regional Medical Center	OH	Molina	Commercial	outpatient	negotiated	$202.62
Adena Regional Medical Center	OH	Humana	Commercial	inpatient	negotiated	$171.57
Adena Regional Medical Center	OH	Humana	Commercial	outpatient	negotiated	$171.57
Adena Regional Medical Center	OH	integrated health plan	Commercial	inpatient	negotiated	$171.57
Adena Regional Medical Center	OH	integrated health plan	Commercial	outpatient	negotiated	$171.57
Adena Regional Medical Center	OH	Multiplan	Commercial	inpatient	negotiated	$171.57
Adena Regional Medical Center	OH	Multiplan	Commercial	outpatient	negotiated	$171.57
Adena Regional Medical Center	OH	three rivers network	Commercial	inpatient	negotiated	$171.57
Adena Regional Medical Center	OH	three rivers network	Commercial	outpatient	negotiated	$171.57
Fayette County Memorial Hosp	OH	Multiplan	Commercial	inpatient	negotiated	$171.57
Fayette County Memorial Hosp	OH	Multiplan	Commercial	outpatient	negotiated	$171.57
Adena Regional Medical Center	OH	healthsmart	Emerald Health Network	inpatient	negotiated	$153.51
Adena Regional Medical Center	OH	healthsmart	Emerald Health Network	outpatient	negotiated	$153.51
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	both	negotiated	$145.35
Adena Regional Medical Center	OH	ohio health choice	Commercial	inpatient	negotiated	$143.76
Adena Regional Medical Center	OH	ohio health choice	Commercial	outpatient	negotiated	$143.76
Fayette County Memorial Hosp	OH	ohio health choice	Commercial	inpatient	negotiated	$143.76
Fayette County Memorial Hosp	OH	ohio health choice	Commercial	outpatient	negotiated	$143.76
Fayette County Memorial Hosp	OH	Aetna	Commercial	inpatient	negotiated	$143.04
Fayette County Memorial Hosp	OH	Aetna	Commercial	outpatient	negotiated	$143.04
Adena Regional Medical Center	OH	First Health	Commercial	inpatient	negotiated	$141.59
Adena Regional Medical Center	OH	First Health	Commercial	outpatient	negotiated	$141.59
Fayette County Memorial Hosp	OH	First Health	Commercial	inpatient	negotiated	$141.59
Fayette County Memorial Hosp	OH	First Health	Commercial	outpatient	negotiated	$141.59
Fayette County Memorial Hosp	OH	medical mutual of ohio	Traditional Commercial	inpatient	negotiated	$136.10
Fayette County Memorial Hosp	OH	medical mutual of ohio	Traditional Commercial	outpatient	negotiated	$136.10
Fayette County Memorial Hosp	OH	medical mutual of ohio supermed	HMO/PPO/POS/Preferred	inpatient	negotiated	$136.10
Fayette County Memorial Hosp	OH	medical mutual of ohio supermed	HMO/PPO/POS/Preferred	outpatient	negotiated	$136.10
Adena Regional Medical Center	OH	Humana	Commercial	inpatient	negotiated	$135.45
Adena Regional Medical Center	OH	Humana	Commercial	outpatient	negotiated	$135.45
Fayette County Memorial Hosp	OH	care source just4me	Commercial	outpatient	negotiated	$133.28
Adena Regional Medical Center	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$130.21
Adena Regional Medical Center	OH	medical mutual of ohio	Traditional Commercial	outpatient	negotiated	$128.94
Adena Regional Medical Center	OH	medical mutual of ohio	Managed Care	outpatient	negotiated	$128.94
Adena Regional Medical Center	OH	Aetna	Commercial	inpatient	negotiated	$128.77
Adena Regional Medical Center	OH	Aetna	Commercial	outpatient	negotiated	$128.77
Adena Regional Medical Center	OH	ohio ppo connect	Commercial	inpatient	negotiated	$126.42
Adena Regional Medical Center	OH	ohio ppo connect	Commercial	outpatient	negotiated	$126.42
Adena Regional Medical Center	OH	the health plan	Commercial	inpatient	negotiated	$126.42
Adena Regional Medical Center	OH	the health plan	Commercial	outpatient	negotiated	$126.42
Fayette County Memorial Hosp	OH	ohio ppo connect	Commercial	inpatient	negotiated	$126.42
Fayette County Memorial Hosp	OH	ohio ppo connect	Commercial	outpatient	negotiated	$126.42
Fayette County Memorial Hosp	OH	the health plan	Commercial	inpatient	negotiated	$126.42
Fayette County Memorial Hosp	OH	the health plan	Commercial	outpatient	negotiated	$126.42
Adena Regional Medical Center	OH	care source	Medicare Advantage	outpatient	negotiated	$125.26
Adena Regional Medical Center	OH	gateway health	Commercial	outpatient	negotiated	$125.26
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	both	negotiated	$124.60
Fayette County Memorial Hosp	OH	Cigna	Commercial	inpatient	negotiated	$124.43
Fayette County Memorial Hosp	OH	Cigna	Commercial	outpatient	negotiated	$124.43
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	both	negotiated	$124.12
Adena Regional Medical Center	OH	Aetna	Medicare Advantage	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	buckeye community health plan	Medicare Advantage	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	Humana	Medicare Advantage	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	medical mutual of ohio	Medicare Advantage	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	Molina	Medicare Advantage/Dual	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$122.80
Adena Regional Medical Center	OH	medigold	Medicare Advantage	outpatient	negotiated	$122.80
Fayette County Memorial Hosp	OH	Anthem BCBS	Traditional	inpatient	negotiated	$119.74
Fayette County Memorial Hosp	OH	Anthem BCBS	Traditional	outpatient	negotiated	$119.74
St. Lukes Hospital	OH	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$117.35
Adena Regional Medical Center	OH	Anthem BCBS	Traditional	inpatient	negotiated	$114.86
Adena Regional Medical Center	OH	Anthem BCBS	Traditional	outpatient	negotiated	$114.86
Fayette County Memorial Hosp	OH	medical mutual of ohio	Commercial	inpatient	negotiated	$114.77
Fayette County Memorial Hosp	OH	medical mutual of ohio	Commercial	outpatient	negotiated	$114.77
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	inpatient	negotiated	$114.68
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$114.68
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	inpatient	negotiated	$113.60
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$113.60
Fayette County Memorial Hosp	OH	Anthem BCBS	Blue Preferred/Blue Access	inpatient	negotiated	$112.69
Fayette County Memorial Hosp	OH	Anthem BCBS	Blue Preferred/Blue Access	outpatient	negotiated	$112.69
Adena Regional Medical Center	OH	Anthem BCBS	Blue Preferred/Blue Access	outpatient	negotiated	$112.15
Adena Regional Medical Center	OH	Cigna	Commercial	inpatient	negotiated	$111.79
St. Lukes Hospital	OH	bcccnp	BCCCNP	both	negotiated	$108.06
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	both	negotiated	$106.40
Adena Regional Medical Center	OH	Anthem BCBS	PPO	outpatient	negotiated	$100.96
St. Lukes Hospital	OH	priority health	Priority Health	both	negotiated	$94.20
St. Lukes Hospital	OH	priority health	Priority Health	outpatient	negotiated	$90.73
Fayette County Memorial Hosp	OH	Anthem BCBS	HMO/PPO	outpatient	negotiated	$89.40
Adena Regional Medical Center	OH	Anthem BCBS	HMO	outpatient	negotiated	$85.79
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	outpatient	negotiated	$85.48
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	outpatient	negotiated	$85.28
Fayette County Memorial Hosp	OH	Anthem BCBS	HMO/PPO	inpatient	negotiated	$82.17
Adena Regional Medical Center	OH	Anthem BCBS	Pathway HMO	outpatient	negotiated	$81.99
Adena Regional Medical Center	OH	medical mutual of ohio	Managed Care	inpatient	negotiated	$81.96
St. Lukes Hospital	OH	u of m health plan	U of M Health Plan	outpatient	negotiated	$81.72
Fayette County Memorial Hosp	OH	Molina	Commercial	outpatient	negotiated	$81.45
St. Lukes Hospital	OH	hap - hmo	HAP - HMO	outpatient	negotiated	$80.13
Fayette County Memorial Hosp	OH	care source	Medicare Advantage	outpatient	negotiated	$75.53
Fayette County Memorial Hosp	OH	Aetna	Medicare Advantage	outpatient	negotiated	$74.05
Fayette County Memorial Hosp	OH	buckeye community health plan	Medicare Advantage	outpatient	negotiated	$74.05
Fayette County Memorial Hosp	OH	Humana	Medicare Advantage	outpatient	negotiated	$74.05
Fayette County Memorial Hosp	OH	medical mutual of ohio	Medicare Advantage	outpatient	negotiated	$74.05
Fayette County Memorial Hosp	OH	medigold	Medicare Advantage	outpatient	negotiated	$74.05
Fayette County Memorial Hosp	OH	Molina	Medicare Advantage/Dual	outpatient	negotiated	$74.05
St. Lukes Hospital	OH	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$74.00
St. Lukes Hospital	OH	UnitedHealthcare	Medicare - United	outpatient	negotiated	$73.19
St. Lukes Hospital	OH	Medicare	Medicare - Molina	outpatient	negotiated	$72.48
St. Lukes Hospital	OH	Humana	Medicare - Humana	outpatient	negotiated	$71.06
St. Lukes Hospital	OH	Medicare	Medicare - Priority Health	outpatient	negotiated	$71.06
St. Lukes Hospital	OH	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$71.06
St. Lukes Hospital	OH	cofinity group 15892 & 15893	Cofinity group 15892 & 15893	both	negotiated	$68.74
Adena Regional Medical Center	OH	Cigna	Commercial	outpatient	negotiated	$64.65
Fayette County Memorial Hosp	OH	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$61.40
St. Lukes Hospital	OH	workers compensation	Workers Compensation	both	negotiated	$55.42
St. Lukes Hospital	OH	Medicaid	Medicaid - Molina	outpatient	negotiated	$54.28
St. Lukes Hospital	OH	UnitedHealthcare	Medicaid - United	outpatient	negotiated	$52.19
St. Lukes Hospital	OH	Medicaid	Traditional Medicaid HMO/PPO	outpatient	negotiated	$52.19
St. Lukes Hospital	OH	mclaren commercial ins	McLaren Commercial Ins	both	negotiated	$49.31
Barnesville Hospital	OH	[De-identified Max]	—	outpatient	max	$4,513.00
Adena Regional Medical Center	OH	[De-identified Max]	—	outpatient	max	$337.70
Wilson Memorial Hospital	OH	[De-identified Max]	—	both	max	$319.41
Wilson Memorial Hospital	OH	[De-identified Max]	—	both	max	$270.27
St. Lukes Hospital	OH	[De-identified Max]	—	both	max	$264.40
Wilson Memorial Hospital	OH	[De-identified Max]	—	both	max	$260.82
Fayette County Memorial Hosp	OH	[De-identified Max]	—	outpatient	max	$204.08
Trumbull Memorial Hospital	OH	[De-identified Max]	—	outpatient	max	$200.00
Wilson Memorial Hospital	OH	[De-identified Max]	—	both	max	$174.83
Adena Regional Medical Center	OH	[De-identified Max]	—	inpatient	max	$171.57
Fayette County Memorial Hosp	OH	[De-identified Max]	—	inpatient	max	$171.57
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$140.00
St. Lukes Hospital	OH	[De-identified Max]	—	outpatient	max	$117.35
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$112.00
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$28.00

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).