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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

$53.18 – $353.69

Negotiated median

$139.57

CPT 99204 Office visit, new patient, 45-59 min · Showing 200 of 439 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Wayne Hospital Company	OH	Chargemaster	N/A	both	gross	$432.00
Trumbull Memorial Hospital	OH	Chargemaster	N/A	outpatient	gross	$375.00
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$361.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$354.90
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$352.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$352.00
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$350.70
Wilson Memorial Hospital	OH	Chargemaster	N/A	both	gross	$323.40
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$323.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$323.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$288.00
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$288.00
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$268.00
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$241.30
St. Lukes Hospital	OH	Chargemaster	N/A	outpatient	gross	$241.00
Adena Regional Medical Center	OH	Chargemaster	N/A	inpatient	gross	$219.45
Adena Regional Medical Center	OH	Chargemaster	N/A	outpatient	gross	$219.45
Fayette County Memorial Hosp	OH	Chargemaster	N/A	inpatient	gross	$219.45
Fayette County Memorial Hosp	OH	Chargemaster	N/A	outpatient	gross	$219.45
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$210.00
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$201.90
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$201.00
St. Lukes Hospital	OH	Chargemaster	N/A	both	gross	$192.00
Harrison Community Hospital	OH	Chargemaster	N/A	outpatient	gross	$187.00
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$165.00
Barnesville Hospital	OH	Chargemaster	N/A	outpatient	gross	$140.00
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$132.00
Henry County Hospital (Cah)	OH	Chargemaster	N/A	both	gross	$33.00
Wayne Hospital Company	OH	Cash pay	N/A	both	cash	$324.00
Trumbull Memorial Hospital	OH	Cash pay	N/A	outpatient	cash	$300.00
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$180.50
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$177.45
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$176.00
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$176.00
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$175.35
Wilson Memorial Hospital	OH	Cash pay	N/A	both	cash	$161.70
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$161.50
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$161.50
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$144.00
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$144.00
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$134.00
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$123.75
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$120.70
St. Lukes Hospital	OH	Cash pay	N/A	outpatient	cash	$120.50
Adena Regional Medical Center	OH	Cash pay	N/A	inpatient	cash	$109.73
Adena Regional Medical Center	OH	Cash pay	N/A	outpatient	cash	$109.73
Fayette County Memorial Hosp	OH	Cash pay	N/A	inpatient	cash	$109.73
Fayette County Memorial Hosp	OH	Cash pay	N/A	outpatient	cash	$109.73
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$105.00
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$100.95
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$100.50
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$99.00
St. Lukes Hospital	OH	Cash pay	N/A	both	cash	$96.00
Harrison Community Hospital	OH	Cash pay	N/A	outpatient	cash	$93.50
Barnesville Hospital	OH	Cash pay	N/A	outpatient	cash	$70.00
Henry County Hospital (Cah)	OH	Cash pay	N/A	both	cash	$24.75
Barnesville Hospital	OH	[De-identified Min]	—	outpatient	min	$4,513.00
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$191.04
Trumbull Memorial Hospital	OH	[De-identified Min]	—	outpatient	min	$187.50
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$123.75
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$106.47
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$105.21
Fayette County Memorial Hosp	OH	[De-identified Min]	—	inpatient	min	$99.85
Adena Regional Medical Center	OH	[De-identified Min]	—	inpatient	min	$99.59
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$99.00
Wilson Memorial Hospital	OH	[De-identified Min]	—	both	min	$97.02
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$92.86
St. Lukes Hospital	OH	[De-identified Min]	—	outpatient	min	$84.99
Adena Regional Medical Center	OH	[De-identified Min]	—	outpatient	min	$78.56
Fayette County Memorial Hosp	OH	[De-identified Min]	—	outpatient	min	$74.61
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$62.87
St. Lukes Hospital	OH	[De-identified Min]	—	both	min	$53.18
Henry County Hospital (Cah)	OH	[De-identified Min]	—	both	min	$24.75
St. Lukes Hospital	OH	Blue Cross Blue Shield	Blue Cross Blue Shield	both	negotiated	$353.69
Adena Regional Medical Center	OH	sidecar health	Commercial	outpatient	negotiated	$337.70
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	both	negotiated	$252.70
St. Lukes Hospital	OH	safe response program	Safe Response Program	both	negotiated	$250.00
Adena Regional Medical Center	OH	care source just4me	Commercial	outpatient	negotiated	$221.04
Adena Regional Medical Center	OH	Humana	Commercial	inpatient	negotiated	$208.48
Adena Regional Medical Center	OH	Humana	Commercial	outpatient	negotiated	$208.48
Adena Regional Medical Center	OH	integrated health plan	Commercial	inpatient	negotiated	$208.48
Adena Regional Medical Center	OH	integrated health plan	Commercial	outpatient	negotiated	$208.48
Adena Regional Medical Center	OH	Multiplan	Commercial	inpatient	negotiated	$208.48
Adena Regional Medical Center	OH	Multiplan	Commercial	outpatient	negotiated	$208.48
Adena Regional Medical Center	OH	three rivers network	Commercial	inpatient	negotiated	$208.48
Adena Regional Medical Center	OH	three rivers network	Commercial	outpatient	negotiated	$208.48
Fayette County Memorial Hosp	OH	Multiplan	Commercial	inpatient	negotiated	$208.48
Fayette County Memorial Hosp	OH	Multiplan	Commercial	outpatient	negotiated	$208.48
Adena Regional Medical Center	OH	Molina	Commercial	outpatient	negotiated	$202.62
St. Lukes Hospital	OH	priority health	Priority Health	both	negotiated	$191.04
Adena Regional Medical Center	OH	healthsmart	Emerald Health Network	inpatient	negotiated	$186.53
Adena Regional Medical Center	OH	healthsmart	Emerald Health Network	outpatient	negotiated	$186.53
St. Lukes Hospital	OH	Blue Cross Blue Shield	Blue Cross Blue Shield	outpatient	negotiated	$179.33
Adena Regional Medical Center	OH	ohio health choice	Commercial	inpatient	negotiated	$174.68
Adena Regional Medical Center	OH	ohio health choice	Commercial	outpatient	negotiated	$174.68
Fayette County Memorial Hosp	OH	ohio health choice	Commercial	inpatient	negotiated	$174.68
Fayette County Memorial Hosp	OH	ohio health choice	Commercial	outpatient	negotiated	$174.68
Fayette County Memorial Hosp	OH	Aetna	Commercial	inpatient	negotiated	$173.80
Fayette County Memorial Hosp	OH	Aetna	Commercial	outpatient	negotiated	$173.80
Adena Regional Medical Center	OH	First Health	Commercial	inpatient	negotiated	$172.05
Adena Regional Medical Center	OH	First Health	Commercial	outpatient	negotiated	$172.05
Fayette County Memorial Hosp	OH	First Health	Commercial	inpatient	negotiated	$172.05
Fayette County Memorial Hosp	OH	First Health	Commercial	outpatient	negotiated	$172.05
Fayette County Memorial Hosp	OH	medical mutual of ohio	Traditional Commercial	inpatient	negotiated	$165.38
Fayette County Memorial Hosp	OH	medical mutual of ohio	Traditional Commercial	outpatient	negotiated	$165.38
Fayette County Memorial Hosp	OH	medical mutual of ohio supermed	HMO/PPO/POS/Preferred	inpatient	negotiated	$165.38
Fayette County Memorial Hosp	OH	medical mutual of ohio supermed	HMO/PPO/POS/Preferred	outpatient	negotiated	$165.38
Adena Regional Medical Center	OH	Humana	Commercial	inpatient	negotiated	$164.59
Adena Regional Medical Center	OH	Humana	Commercial	outpatient	negotiated	$164.59
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	both	negotiated	$164.14
Fayette County Memorial Hosp	OH	care source just4me	Commercial	outpatient	negotiated	$161.95
Adena Regional Medical Center	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$158.22
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	both	negotiated	$156.79
Adena Regional Medical Center	OH	Aetna	Commercial	inpatient	negotiated	$156.47
Adena Regional Medical Center	OH	Aetna	Commercial	outpatient	negotiated	$156.47
Adena Regional Medical Center	OH	ohio ppo connect	Commercial	inpatient	negotiated	$153.62
Adena Regional Medical Center	OH	ohio ppo connect	Commercial	outpatient	negotiated	$153.62
Adena Regional Medical Center	OH	the health plan	Commercial	inpatient	negotiated	$153.62
Adena Regional Medical Center	OH	the health plan	Commercial	outpatient	negotiated	$153.62
Fayette County Memorial Hosp	OH	ohio ppo connect	Commercial	inpatient	negotiated	$153.62
Fayette County Memorial Hosp	OH	ohio ppo connect	Commercial	outpatient	negotiated	$153.62
Fayette County Memorial Hosp	OH	Cigna	Commercial	inpatient	negotiated	$151.20
Fayette County Memorial Hosp	OH	Cigna	Commercial	outpatient	negotiated	$151.20
St. Lukes Hospital	OH	priority health	Priority Health	outpatient	negotiated	$147.63
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	outpatient	negotiated	$145.92
Fayette County Memorial Hosp	OH	Anthem BCBS	Traditional	inpatient	negotiated	$145.50
Fayette County Memorial Hosp	OH	Anthem BCBS	Traditional	outpatient	negotiated	$145.50
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	both	negotiated	$141.33
Adena Regional Medical Center	OH	Anthem BCBS	Traditional	inpatient	negotiated	$139.57
Adena Regional Medical Center	OH	Anthem BCBS	Traditional	outpatient	negotiated	$139.57
Fayette County Memorial Hosp	OH	medical mutual of ohio	Commercial	inpatient	negotiated	$139.46
Fayette County Memorial Hosp	OH	medical mutual of ohio	Commercial	outpatient	negotiated	$139.46
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	inpatient	negotiated	$139.35
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$139.35
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	inpatient	negotiated	$138.03
Fayette County Memorial Hosp	OH	UnitedHealthcare	Commercial	outpatient	negotiated	$138.03
St. Lukes Hospital	OH	Aetna	Cofinity Aetna	outpatient	negotiated	$137.30
Fayette County Memorial Hosp	OH	Anthem BCBS	Blue Preferred/Blue Access	inpatient	negotiated	$136.94
Fayette County Memorial Hosp	OH	Anthem BCBS	Blue Preferred/Blue Access	outpatient	negotiated	$136.94
Adena Regional Medical Center	OH	Anthem BCBS	Blue Preferred/Blue Access	outpatient	negotiated	$136.28
Adena Regional Medical Center	OH	Cigna	Commercial	inpatient	negotiated	$135.84
St. Lukes Hospital	OH	UnitedHealthcare	United Healthcare	both	negotiated	$134.40
St. Lukes Hospital	OH	u of m health plan	U of M Health Plan	outpatient	negotiated	$133.42
St. Lukes Hospital	OH	hap - hmo	HAP - HMO	outpatient	negotiated	$130.19
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	care source	Medicare Advantage	outpatient	negotiated	$125.26
Adena Regional Medical Center	OH	gateway health	Commercial	outpatient	negotiated	$125.26
St. Lukes Hospital	OH	mclaren commercial ins	McLaren Commercial Ins	outpatient	negotiated	$125.00
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
Adena Regional Medical Center	OH	Anthem BCBS	PPO	outpatient	negotiated	$122.67
St. Lukes Hospital	OH	UnitedHealthcare	Medicare - United	outpatient	negotiated	$119.50
St. Lukes Hospital	OH	Medicare	Medicare - Molina	outpatient	negotiated	$118.34
St. Lukes Hospital	OH	Humana	Medicare - Humana	outpatient	negotiated	$116.02
St. Lukes Hospital	OH	Medicare	Medicare - Priority Health	outpatient	negotiated	$116.02
St. Lukes Hospital	OH	Medicare	Traditional Medicare HMO/PPO	outpatient	negotiated	$116.02
St. Lukes Hospital	OH	bcccnp	BCCCNP	both	negotiated	$115.00
Fayette County Memorial Hosp	OH	Anthem BCBS	HMO/PPO	outpatient	negotiated	$108.63
St. Lukes Hospital	OH	priority health	Priority Health	both	negotiated	$106.37
Adena Regional Medical Center	OH	Anthem BCBS	HMO	outpatient	negotiated	$104.24
St. Lukes Hospital	OH	priority health	Priority Health	both	negotiated	$101.61
Fayette County Memorial Hosp	OH	Anthem BCBS	HMO/PPO	inpatient	negotiated	$99.85
Adena Regional Medical Center	OH	Anthem BCBS	Pathway HMO	outpatient	negotiated	$99.63
Adena Regional Medical Center	OH	medical mutual of ohio	Managed Care	inpatient	negotiated	$99.59
St. Lukes Hospital	OH	cofinity group 15892 & 15893	Cofinity group 15892 & 15893	both	negotiated	$92.16
Fayette County Memorial Hosp	OH	care source	Medicare Advantage	outpatient	negotiated	$91.77
Fayette County Memorial Hosp	OH	Aetna	Medicare Advantage	outpatient	negotiated	$89.97
Fayette County Memorial Hosp	OH	buckeye community health plan	Medicare Advantage	outpatient	negotiated	$89.97
Fayette County Memorial Hosp	OH	Humana	Medicare Advantage	outpatient	negotiated	$89.97
Fayette County Memorial Hosp	OH	medical mutual of ohio	Medicare Advantage	outpatient	negotiated	$89.97
Fayette County Memorial Hosp	OH	medigold	Medicare Advantage	outpatient	negotiated	$89.97
Fayette County Memorial Hosp	OH	Molina	Medicare Advantage/Dual	outpatient	negotiated	$89.97
St. Lukes Hospital	OH	Medicaid	Medicaid - Molina	outpatient	negotiated	$88.39
St. Lukes Hospital	OH	UnitedHealthcare	Medicaid - United	outpatient	negotiated	$84.99
St. Lukes Hospital	OH	Medicaid	Traditional Medicaid HMO/PPO	outpatient	negotiated	$84.99
Adena Regional Medical Center	OH	Cigna	Commercial	outpatient	negotiated	$78.56
Fayette County Memorial Hosp	OH	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$74.61
St. Lukes Hospital	OH	workers compensation	Workers Compensation	both	negotiated	$62.87
St. Lukes Hospital	OH	workers compensation	Workers Compensation	both	negotiated	$59.78
St. Lukes Hospital	OH	mclaren commercial ins	McLaren Commercial Ins	both	negotiated	$53.18
Barnesville Hospital	OH	[De-identified Max]	—	outpatient	max	$4,513.00
St. Lukes Hospital	OH	[De-identified Max]	—	both	max	$353.69
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	$315.63
Trumbull Memorial Hospital	OH	[De-identified Max]	—	outpatient	max	$300.00
Wilson Memorial Hospital	OH	[De-identified Max]	—	both	max	$291.06
Fayette County Memorial Hosp	OH	[De-identified Max]	—	outpatient	max	$247.98
Adena Regional Medical Center	OH	[De-identified Max]	—	inpatient	max	$208.48
Fayette County Memorial Hosp	OH	[De-identified Max]	—	inpatient	max	$208.48
St. Lukes Hospital	OH	[De-identified Max]	—	outpatient	max	$179.33
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$165.00
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$132.00
Henry County Hospital (Cah)	OH	[De-identified Max]	—	both	max	$33.00

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).