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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

Hospitals

Payers

Negotiated range

$21.18 – $628.75

Negotiated median

$179.63

CPT 99204 Office visit, new patient, 45-59 min · Showing 200 of 229 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
CULLMAN REGIONAL	AL	Cash pay	N/A	outpatient	cash	$513
MOUNTAIN VIEW HOSPITAL	AL	Cash pay	N/A	outpatient	cash	$453.78
MARSHALL MEDICAL CENTERS SOUTH	AL	Cash pay	N/A	both	cash	$453.34
DECATUR MORGAN - DECATUR CAMPUS	AL	Cash pay	N/A	both	cash	$363
MARSHALL MEDICAL CENTERS SOUTH	AL	Cash pay	N/A	both	cash	$363
HUNTSVILLE HOSPITAL	AL	Cash pay	N/A	both	cash	$363
ATHENS LIMESTONE	AL	Cash pay	N/A	both	cash	$363
HELEN KELLER HOSPITAL	AL	Cash pay	N/A	both	cash	$363
MARSHALL MEDICAL CENTERS SOUTH	AL	Cash pay	N/A	both	cash	$297
PROVIDENCE HOSPITAL	AL	Cash pay	N/A	outpatient	cash	$282.8
SPRINGHILL MEMORIAL HOSPITAL	AL	Cash pay	N/A	outpatient	cash	$280.52
ST. VINCENTS EAST	AL	Cash pay	N/A	inpatient	cash	$186.11
ST. VINCENTS EAST	AL	Cash pay	N/A	outpatient	cash	$186.11
SOUTHEAST HEALTH MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$161.26
SOUTHEAST HEALTH MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$150.45
SOUTHEAST HEALTH MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$146.07
COOSA VALLEY MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$82
COOSA VALLEY MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$79
COOSA VALLEY MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$78
SOUTHEAST HEALTH MEDICAL CENTER	AL	Cash pay	N/A	outpatient	cash	$76
WASHINGTON COUNTY HOSPITAL	AL	Cash pay	N/A	outpatient	cash	$54.17
ST. VINCENTS EAST	AL	[de-identified min]	—	outpatient	min	$406.73
ST. VINCENTS EAST	AL	[de-identified min]	—	inpatient	min	$406.73
ST. VINCENTS ST. CLAIR	AL	[de-identified min]	—	inpatient	min	$179.63
ST. VINCENTS ST. CLAIR	AL	[de-identified min]	—	both	min	$179.63
MARSHALL MEDICAL CENTERS SOUTH	AL	[de-identified min]	—	both	min	$172
MARSHALL MEDICAL CENTERS SOUTH	AL	[de-identified min]	—	both	min	$145.2
PROVIDENCE HOSPITAL	AL	[de-identified min]	—	outpatient	min	$134.67
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Min]	—	outpatient	min	$120
MARSHALL MEDICAL CENTERS SOUTH	AL	[de-identified min]	—	both	min	$118.8
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Min]	—	outpatient	min	$115
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Min]	—	outpatient	min	$113
SOUTHEAST HEALTH MEDICAL CENTER	AL	[de-identified min]	—	outpatient	min	$110.67
CULLMAN REGIONAL	AL	[de-identified min]	—	outpatient	min	$110.67
ATHENS LIMESTONE	AL	[de-identified min]	—	both	min	$90.75
HUNTSVILLE HOSPITAL	AL	[de-identified min]	—	both	min	$90.75
DECATUR MORGAN - DECATUR CAMPUS	AL	[de-identified min]	—	both	min	$90.75
HELEN KELLER HOSPITAL	AL	[de-identified min]	—	both	min	$90.75
ST. VINCENTS EAST	AL	occunet	1476_MEDICARE ADVANTAGE OCCUNET INPATIENT 20241001	inpatient	negotiated	$628.75
ST. VINCENTS ST. CLAIR	AL	meridian	1758_MEDICAID ADVANTAGE MERIDIAN (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	Medicaid	1760_MEDICAID ADVANTAGE OTHER (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	illinicare	1756_MEDICAID ADVANTAGE ILLINICARE (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	harmony health plan	1753_MEDICAID ADVANTAGE HARMONY HEALTH PLAN (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	county care	1747_MEDICAID ADVANTAGE COUNTY CARE (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	Blue Cross Blue Shield	1746_MEDICAID ADVANTAGE BCBS (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	Aetna	1744_MEDICAID ADVANTAGE AETNA BETTER HEALTH (SA) 20240101	inpatient	negotiated	$454.08
ST. VINCENTS ST. CLAIR	AL	Cigna	1616_CIGNA IFP (SA) 20231001	both	negotiated	$428.53
ST. VINCENTS EAST	AL	Humana	1660_HUMANA PPO SIFL 20250101	outpatient	negotiated	$406.73
ST. VINCENTS EAST	AL	Humana	1658_HUMANA HMO SIFL 20250101	outpatient	negotiated	$406.73
DECATUR MORGAN - DECATUR CAMPUS	AL	WellCare	WELLCARE MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Aetna	AETNA MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Ambetter	AMBETTER COMMERCIAL	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Blue Cross Blue Shield	BLUE ADVANTAGE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Blue Cross Blue Shield	BLUE ADVANTAGE TN	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	devoted	DEVOTED MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Humana	HUMANA MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	Medicare	MEDICARE ADVANTAGE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	UnitedHealthcare	UNITED MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	viva	VIVA MEDICARE	both	negotiated	$363
HELEN KELLER HOSPITAL	AL	WellCare	WELLCARE MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Aetna	AETNA MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Ambetter	AMBETTER COMMERCIAL	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Blue Cross Blue Shield	BLUE ADVANTAGE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Blue Cross Blue Shield	BLUE ADVANTAGE TN	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	devoted	DEVOTED MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Humana	HUMANA MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	Medicare	MEDICARE ADVANTAGE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	UnitedHealthcare	UNITED MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	viva	VIVA MEDICARE	both	negotiated	$363
HUNTSVILLE HOSPITAL	AL	WellCare	WELLCARE MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	Aetna	AETNA MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	Ambetter	AMBETTER COMMERCIAL	both	negotiated	$363
ATHENS LIMESTONE	AL	Blue Cross Blue Shield	BLUE ADVANTAGE	both	negotiated	$363
ATHENS LIMESTONE	AL	Blue Cross Blue Shield	BLUE ADVANTAGE TN	both	negotiated	$363
ATHENS LIMESTONE	AL	devoted	DEVOTED MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	Humana	HUMANA MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	Medicare	MEDICARE ADVANTAGE	both	negotiated	$363
ATHENS LIMESTONE	AL	UnitedHealthcare	UNITED MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	viva	VIVA MEDICARE	both	negotiated	$363
ATHENS LIMESTONE	AL	WellCare	WELLCARE MEDICARE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Aetna	AETNA MEDICARE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Ambetter	AMBETTER COMMERCIAL	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Blue Cross Blue Shield	BLUE ADVANTAGE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Blue Cross Blue Shield	BLUE ADVANTAGE TN	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	devoted	DEVOTED MEDICARE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Humana	HUMANA MEDICARE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	Medicare	MEDICARE ADVANTAGE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	UnitedHealthcare	UNITED MEDICARE	both	negotiated	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	viva	VIVA MEDICARE	both	negotiated	$363
COOSA VALLEY MEDICAL CENTER	AL	Humana	PPO	outpatient	negotiated	$342
COOSA VALLEY MEDICAL CENTER	AL	Humana	Medicare Advantage	outpatient	negotiated	$342
COOSA VALLEY MEDICAL CENTER	AL	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$342
COOSA VALLEY MEDICAL CENTER	AL	Humana	HMO	outpatient	negotiated	$342
COOSA VALLEY MEDICAL CENTER	AL	Humana	PPO	outpatient	negotiated	$328
COOSA VALLEY MEDICAL CENTER	AL	Humana	Medicare Advantage	outpatient	negotiated	$328
COOSA VALLEY MEDICAL CENTER	AL	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$328
COOSA VALLEY MEDICAL CENTER	AL	Humana	HMO	outpatient	negotiated	$328
COOSA VALLEY MEDICAL CENTER	AL	Humana	Medicare Advantage	outpatient	negotiated	$323
COOSA VALLEY MEDICAL CENTER	AL	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$323
COOSA VALLEY MEDICAL CENTER	AL	Humana	HMO	outpatient	negotiated	$323
COOSA VALLEY MEDICAL CENTER	AL	Humana	PPO	outpatient	negotiated	$323
HELEN KELLER HOSPITAL	AL	Aetna	AETNA COMMERCIAL	both	negotiated	$235.95
ATHENS LIMESTONE	AL	Aetna	AETNA COMMERCIAL	both	negotiated	$235.95
DECATUR MORGAN - DECATUR CAMPUS	AL	Aetna	AETNA COMMERCIAL	both	negotiated	$235.95
HUNTSVILLE HOSPITAL	AL	Aetna	AETNA COMMERCIAL	both	negotiated	$235.95
MARSHALL MEDICAL CENTERS SOUTH	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$204
HUNTSVILLE HOSPITAL	AL	viva	VIVA HEALTH	both	negotiated	$181.5
DECATUR MORGAN - DECATUR CAMPUS	AL	viva	VIVA HEALTH	both	negotiated	$181.5
ATHENS LIMESTONE	AL	viva	VIVA HEALTH	both	negotiated	$181.5
HELEN KELLER HOSPITAL	AL	viva	VIVA HEALTH	both	negotiated	$181.5
MARSHALL MEDICAL CENTERS SOUTH	AL	viva	VIVA HEALTH	both	negotiated	$181.34
ST. VINCENTS ST. CLAIR	AL	Cigna	1298_CIGNA C5 (AB,SA) 20230201	both	negotiated	$179.63
ST. VINCENTS ST. CLAIR	AL	Cigna	1614_CIGNA (AB,SA) 20231001	both	negotiated	$179.63
ST. VINCENTS ST. CLAIR	AL	Cigna	1714_CIGNA LOCAL PLUS (AB,SA) 20240101	both	negotiated	$179.63
HUNTSVILLE HOSPITAL	AL	Cigna	CIGNA_COMMERCIAL-GOOD	both	negotiated	$174.24
DECATUR MORGAN - DECATUR CAMPUS	AL	Cigna	CIGNA_COMMERCIAL-GOOD	both	negotiated	$174.24
HELEN KELLER HOSPITAL	AL	Cigna	CIGNA COMMERCIAL	both	negotiated	$174.24
HELEN KELLER HOSPITAL	AL	Cigna	CIGNA_COMMERCIAL-GOOD	both	negotiated	$174.24
ATHENS LIMESTONE	AL	Cigna	CIGNA_COMMERCIAL-GOOD	both	negotiated	$174.24
HUNTSVILLE HOSPITAL	AL	Cigna	CIGNA COMMERCIAL	both	negotiated	$174.24
ATHENS LIMESTONE	AL	Cigna	CIGNA COMMERCIAL	both	negotiated	$174.24
DECATUR MORGAN - DECATUR CAMPUS	AL	Cigna	CIGNA COMMERCIAL	both	negotiated	$174.24
MARSHALL MEDICAL CENTERS SOUTH	AL	Cigna	CIGNA COMMERCIAL	both	negotiated	$172
ATHENS LIMESTONE	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$163.35
DECATUR MORGAN - DECATUR CAMPUS	AL	Humana	HUMANA COMMERCIALEXCHHMO	both	negotiated	$163.35
DECATUR MORGAN - DECATUR CAMPUS	AL	Humana	HUMANA COMMERCIALEXCHPPO	both	negotiated	$163.35
HELEN KELLER HOSPITAL	AL	Humana	HUMANA COMMERCIALEXCHPPO	both	negotiated	$163.35
DECATUR MORGAN - DECATUR CAMPUS	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$163.35
HUNTSVILLE HOSPITAL	AL	Humana	HUMANA COMMERCIALEXCHHMO	both	negotiated	$163.35
HUNTSVILLE HOSPITAL	AL	Humana	HUMANA COMMERCIALEXCHPPO	both	negotiated	$163.35
HUNTSVILLE HOSPITAL	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$163.35
MARSHALL MEDICAL CENTERS SOUTH	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$163.35
HELEN KELLER HOSPITAL	AL	Humana	HUMANA COMMERCIALEXCHHMO	both	negotiated	$163.35
HELEN KELLER HOSPITAL	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$163.35
ATHENS LIMESTONE	AL	Humana	HUMANA COMMERCIALEXCHHMO	both	negotiated	$163.35
ATHENS LIMESTONE	AL	Humana	HUMANA COMMERCIALEXCHPPO	both	negotiated	$163.35
COOSA VALLEY MEDICAL CENTER	AL	Aetna	Commercial	outpatient	negotiated	$157
COOSA VALLEY MEDICAL CENTER	AL	Aetna	Commercial	outpatient	negotiated	$151
COOSA VALLEY MEDICAL CENTER	AL	Aetna	Commercial	outpatient	negotiated	$149
MARSHALL MEDICAL CENTERS SOUTH	AL	viva	VIVA HEALTH	both	negotiated	$145.2
PROVIDENCE HOSPITAL	AL	evernorth behavioral health	2064_EVERNORTH BEHAVIORAL HEALTH 20221123	outpatient	negotiated	$134.67
MARSHALL MEDICAL CENTERS SOUTH	AL	UnitedHealthcare	UNITED COMMERCIAL	both	negotiated	$133.65
COOSA VALLEY MEDICAL CENTER	AL	health spring	Commercial	outpatient	negotiated	$120
MARSHALL MEDICAL CENTERS SOUTH	AL	viva	VIVA HEALTH	both	negotiated	$118.8
COOSA VALLEY MEDICAL CENTER	AL	health spring	Commercial	outpatient	negotiated	$115
COOSA VALLEY MEDICAL CENTER	AL	health spring	Commercial	outpatient	negotiated	$113
CULLMAN REGIONAL	AL	Aetna	Aetna Med ADV	outpatient	negotiated	$110.67
CULLMAN REGIONAL	AL	Humana	Humana	outpatient	negotiated	$110.67
CULLMAN REGIONAL	AL	UnitedHealthcare	United Health Medicare Advantage	outpatient	negotiated	$110.67
CULLMAN REGIONAL	AL	viva med adv	Viva Med ADV	outpatient	negotiated	$110.67
HELEN KELLER HOSPITAL	AL	Cigna	CIGNA COMMERCIAL-PPO	both	negotiated	$90.75
DECATUR MORGAN - DECATUR CAMPUS	AL	Cigna	CIGNA COMMERCIAL-ALLEG	both	negotiated	$90.75
DECATUR MORGAN - DECATUR CAMPUS	AL	Cigna	CIGNA COMMERCIAL-PPO	both	negotiated	$90.75
HUNTSVILLE HOSPITAL	AL	Cigna	CIGNA COMMERCIAL-ALLEG	both	negotiated	$90.75
HUNTSVILLE HOSPITAL	AL	Cigna	CIGNA COMMERCIAL-PPO	both	negotiated	$90.75
ATHENS LIMESTONE	AL	Cigna	CIGNA COMMERCIAL-ALLEG	both	negotiated	$90.75
ATHENS LIMESTONE	AL	Cigna	CIGNA COMMERCIAL-PPO	both	negotiated	$90.75
HELEN KELLER HOSPITAL	AL	Cigna	CIGNA COMMERCIAL-ALLEG	both	negotiated	$90.75
WASHINGTON COUNTY HOSPITAL	AL	Humana	HMO	outpatient	negotiated	$90
MOUNTAIN VIEW HOSPITAL	AL	usa managed care	PPO	outpatient	negotiated	$85
MOUNTAIN VIEW HOSPITAL	AL	magellan bh	COMMBH	outpatient	negotiated	$80
WASHINGTON COUNTY HOSPITAL	AL	blue advantage	HMO	outpatient	negotiated	$80
MOUNTAIN VIEW HOSPITAL	AL	injury care of utah	WCOMP	outpatient	negotiated	$78
WASHINGTON COUNTY HOSPITAL	AL	Aetna	HMO	outpatient	negotiated	$75
MOUNTAIN VIEW HOSPITAL	AL	Aetna	FirstHealth	outpatient	negotiated	$72
MOUNTAIN VIEW HOSPITAL	AL	evernorth bh	COMM	outpatient	negotiated	$70
MOUNTAIN VIEW HOSPITAL	AL	Multiplan	Primary	outpatient	negotiated	$67
MOUNTAIN VIEW HOSPITAL	AL	union pacific railroad	COMM	outpatient	negotiated	$65
MOUNTAIN VIEW HOSPITAL	AL	select health er	COMM	outpatient	negotiated	$57.8
WASHINGTON COUNTY HOSPITAL	AL	UnitedHealthcare	POS	outpatient	negotiated	$57
MOUNTAIN VIEW HOSPITAL	AL	Aetna	UtahConnectedNetwork	outpatient	negotiated	$51
MOUNTAIN VIEW HOSPITAL	AL	magellan behavioral health	TRICARE	outpatient	negotiated	$50
MOUNTAIN VIEW HOSPITAL	AL	Aetna	AetnaSignatureAdministrators	outpatient	negotiated	$49
MOUNTAIN VIEW HOSPITAL	AL	angle insurance	COMM	outpatient	negotiated	$48
MOUNTAIN VIEW HOSPITAL	AL	Cigna	COMM	outpatient	negotiated	$40
MOUNTAIN VIEW HOSPITAL	AL	universal healthcare	MCR	outpatient	negotiated	$40
MOUNTAIN VIEW HOSPITAL	AL	Aetna	StandardNetwork	outpatient	negotiated	$40
MOUNTAIN VIEW HOSPITAL	AL	university of utah	HealthyPremier	outpatient	negotiated	$39.9
MOUNTAIN VIEW HOSPITAL	AL	dmba (deseret mutual benefit admin)	PPO	outpatient	negotiated	$37.71
MOUNTAIN VIEW HOSPITAL	AL	university of utah	HealthyPreferred	outpatient	negotiated	$36.6
MOUNTAIN VIEW HOSPITAL	AL	university of utah	HealthyPremierSSG	outpatient	negotiated	$36.6
MOUNTAIN VIEW HOSPITAL	AL	pehp	Summit	outpatient	negotiated	$35.5
MOUNTAIN VIEW HOSPITAL	AL	university of utah	HIXIndividual	outpatient	negotiated	$31.8
MOUNTAIN VIEW HOSPITAL	AL	Aetna	PeakPreference	outpatient	negotiated	$31
MOUNTAIN VIEW HOSPITAL	AL	Bright Health	HIX	outpatient	negotiated	$28
MOUNTAIN VIEW HOSPITAL	AL	pehp	Exclusive	outpatient	negotiated	$27.6
MOUNTAIN VIEW HOSPITAL	AL	sterling life insurance	MCR	outpatient	negotiated	$25
MOUNTAIN VIEW HOSPITAL	AL	elap	COMM	outpatient	negotiated	$21.18
ST. VINCENTS EAST	AL	[de-identified max]	—	inpatient	max	$628.75
ST. VINCENTS EAST	AL	[de-identified max]	—	outpatient	max	$628.75
ST. VINCENTS ST. CLAIR	AL	[de-identified max]	—	both	max	$454.08
ST. VINCENTS ST. CLAIR	AL	[de-identified max]	—	inpatient	max	$454.08
HUNTSVILLE HOSPITAL	AL	[de-identified max]	—	both	max	$363
DECATUR MORGAN - DECATUR CAMPUS	AL	[de-identified max]	—	both	max	$363
ATHENS LIMESTONE	AL	[de-identified max]	—	both	max	$363
HELEN KELLER HOSPITAL	AL	[de-identified max]	—	both	max	$363
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Max]	—	outpatient	max	$342
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Max]	—	outpatient	max	$328
COOSA VALLEY MEDICAL CENTER	AL	[De-identified Max]	—	outpatient	max	$323
SOUTHEAST HEALTH MEDICAL CENTER	AL	[de-identified max]	—	outpatient	max	$204.74

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).