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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

$30.41 – $600.78

Negotiated median

$55.93

CPT 99212 Office visit, established patient, 10-19 min · Showing 200 of 471 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
HARLAN ARH	KY	Aetna	Commercial	inpatient	negotiated	$600.78
HARLAN ARH	KY	Aetna	Commercial	outpatient	negotiated	$581.4
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$564.8
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$564.8
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$536.57
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$536.57
HAZARD ARH	KY	Aetna	Commercial	both	negotiated	$503.1
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$488.73
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$484.5
HARLAN ARH	KY	umr	Commercial	outpatient	negotiated	$481.92
HARLAN ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$481.92
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$464.31
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$413.66
HAZARD ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$413.66
HARLAN ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$387.6
TUG VALLEY ARH	KY	Aetna	Commercial	both	negotiated	$380.7
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$369.83
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$351.34
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$339.8
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$339.8
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$335.4
TUG VALLEY ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$303.29
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$303.29
MIDDLESBORO ARH	KY	Aetna	Commercial	inpatient	negotiated	$256.68
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$253.8
MIDDLESBORO ARH	KY	Aetna	Commercial	outpatient	negotiated	$248.4
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$241.31
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$229.25
MIDDLESBORO ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$205.62
MIDDLESBORO ARH	KY	umr	Commercial	outpatient	negotiated	$205.62
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$190.08
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$188.85
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$179.41
HARLAN ARH	KY	WellCare	Medicaid	outpatient	negotiated	$167.96
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$165.6
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$160.7
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$160.7
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$140.4
HAZARD ARH	KY	WellCare	Medicaid	outpatient	negotiated	$134.16
HAZARD ARH	KY	Aetna	Medicaid	outpatient	negotiated	$125.44
HAZARD ARH	KY	Molina	Medicaid	outpatient	negotiated	$125.44
HAZARD ARH	KY	Humana	Medicaid	outpatient	negotiated	$125.44
HAZARD ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$125.44
HARLAN ARH	KY	Molina	Medicaid	outpatient	negotiated	$105.43
HARLAN ARH	KY	Humana	Medicaid	outpatient	negotiated	$103.36
HARLAN ARH	KY	Aetna	Medicaid	outpatient	negotiated	$103.36
HARLAN ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$103.36
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	both	negotiated	$99.06
TUG VALLEY ARH	KY	WellCare	Medicaid	outpatient	negotiated	$97.29
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	both	negotiated	$93.6
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	both	negotiated	$93.6
PAINTSVILLE ARH HOSPITAL	KY	Humana	Medicaid	outpatient	negotiated	$92.25
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicaid	outpatient	negotiated	$92.25
PAINTSVILLE ARH HOSPITAL	KY	Molina	Medicaid	outpatient	negotiated	$92.25
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$92.25
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicaid	outpatient	negotiated	$92.25
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	both	negotiated	$88.4
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	both	negotiated	$88.4
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	outpatient	negotiated	$86.82
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$84.26
MCDOWELL ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$79.92
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	both	negotiated	$78.37
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	both	negotiated	$78.37
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	both	negotiated	$78.37
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	both	negotiated	$78.37
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$76.6
MIDDLESBORO ARH	KY	Aetna	Commercial	inpatient	negotiated	$72.54
WHITESBURG ARH	KY	Aetna	Commercial	inpatient	negotiated	$72.54
MIDDLESBORO ARH	KY	Aetna	Commercial	outpatient	negotiated	$70.2
HAZARD ARH	KY	Aetna	Commercial	both	negotiated	$70.2
TUG VALLEY ARH	KY	Aetna	Commercial	both	negotiated	$70.2
WHITESBURG ARH	KY	Aetna	Commercial	outpatient	negotiated	$70.2
MIDDLESBORO ARH	KY	WellCare	Medicaid	outpatient	negotiated	$69
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$68.94
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$68.2
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$68.2
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$68.2
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$68.2
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$65.12
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.79
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.79
WHITESBURG ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.79
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.79
TUG VALLEY ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$64.72
TUG VALLEY ARH	KY	Humana	Medicaid	outpatient	negotiated	$64.72
TUG VALLEY ARH	KY	Aetna	Medicaid	outpatient	negotiated	$64.72
TUG VALLEY ARH	KY	Molina	Medicaid	outpatient	negotiated	$64.72
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.7
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$64.7
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$61.46
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$61.46
WHITESBURG ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$59.59
WHITESBURG ARH	KY	umr	Commercial	outpatient	negotiated	$59.59
MIDDLESBORO ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$58.11
MIDDLESBORO ARH	KY	umr	Commercial	outpatient	negotiated	$58.11
HAZARD ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$57.72
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$57.72
WHITESBURG ARH	KY	umr	Commercial	outpatient	negotiated	$56.54
MCDOWELL ARH	KY	Aetna	Medicare	outpatient	negotiated	$56.16
TUG VALLEY ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$55.93
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$55.93
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$55.5
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$55.06
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$55.06
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$54.76
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$53.84
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$53.62
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$53.06
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$51.28
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$51.07
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$51.07
MIDDLESBORO ARH	KY	Humana	Choice Care	outpatient	negotiated	$50.67
MIDDLESBORO ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$50.67
MIDDLESBORO ARH	KY	Aetna	Medicaid	outpatient	negotiated	$50.67
MIDDLESBORO ARH	KY	Molina	Medicaid	outpatient	negotiated	$50.67
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$50.18
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	both	negotiated	$50.18
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$50.18
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$50.18
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	both	negotiated	$50.18
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	both	negotiated	$50.18
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$49
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$48.1
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$46.98
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$46.8
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$46.8
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$46.8
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$46.8
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$44.4
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$44.4
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$44.4
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	outpatient	negotiated	$44.4
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$44.4
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$44.1
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$43.12
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$42.84
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$40.7
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	both	negotiated	$39.16
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$38.92
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$38.92
MCDOWELL ARH	KY	Molina	Medicaid	outpatient	negotiated	$37.45
MCDOWELL ARH	KY	WellCare	Medicaid	outpatient	negotiated	$37.09
MCDOWELL ARH	KY	Aetna	Medicaid	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	WellCare	Medicare	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	Humana	Medicaid	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	Humana	Medicare	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$36.72
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$36.46
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$36.46
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	both	negotiated	$34.26
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$32.93
HIGHLANDS REGIONAL MEDICAL CENTER	KY	umr	Commercial	outpatient	negotiated	$32.93
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	both	negotiated	$32.63
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	both	negotiated	$32.63
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$31.85
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicaid	both	negotiated	$31.08
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$30.41
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	both	negotiated	$30.41
TUG VALLEY ARH	KY	the health plan	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	caresoure kentucky	Commercial	both	negotiated	$30.41
TUG VALLEY ARH	KY	the health plan	Medicare	both	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$30.41
TUG VALLEY ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$30.41
MIDDLESBORO ARH	KY	Aetna	Medicare	outpatient	negotiated	$30.41
MIDDLESBORO ARH	KY	Aetna	Medicare	both	negotiated	$30.41
HAZARD ARH	KY	WellCare	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	Aetna	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	Aetna	Medicare	both	negotiated	$30.41
WHITESBURG ARH	KY	WellCare	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	WellCare	Medicare	both	negotiated	$30.41
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$30.41
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$30.41
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	both	negotiated	$30.41
TUG VALLEY ARH	KY	Aetna	Medicare	outpatient	negotiated	$30.41
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$30.41
HAZARD ARH	KY	Aetna	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$30.41
TUG VALLEY ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	both	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	outpatient	negotiated	$30.41
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$30.41
TUG VALLEY ARH	KY	WellCare	Medicare	outpatient	negotiated	$30.41
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$30.41
HAZARD ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$30.41

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).