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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

$39.34 – $168.00

Negotiated median

$111.13

CPT 99212 Office visit, established patient, 10-19 min · Showing 198 of 198 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	both	gross	$302.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	outpatient	gross	$300.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	inpatient	gross	$300.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$290.00
Bon Secours Depaul Medical Center	VA	Chargemaster	N/A	both	gross	$202.00
Carilion Medical Center	VA	Chargemaster	N/A	outpatient	gross	$175.00
Carilion New River Valley Med Center	VA	Chargemaster	N/A	outpatient	gross	$175.00
Carilion Franklin Memorial Hospital	VA	Chargemaster	N/A	outpatient	gross	$175.00
Carilion Tazewell Community Hospital	VA	Chargemaster	N/A	outpatient	gross	$175.00
Carilion Giles Community Hospital	VA	Chargemaster	N/A	outpatient	gross	$175.00
Carilion Stonewall Jackson Hospital	VA	Chargemaster	N/A	outpatient	gross	$175.00
Childrens Hospital Of The Kings Da	VA	Chargemaster	N/A	outpatient	gross	$102.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$77.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$73.00
Lynn House Of Potomac Valley Inc.	VA	Chargemaster	N/A	outpatient	gross	$71.00
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	$196.30
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	outpatient	cash	$195.00
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	inpatient	cash	$195.00
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$145.00
Bon Secours Depaul Medical Center	VA	Cash pay	N/A	both	cash	$131.30
Childrens Hospital Of The Kings Da	VA	Cash pay	N/A	outpatient	cash	$91.80
Carilion Medical Center	VA	Cash pay	N/A	outpatient	cash	$61.25
Carilion New River Valley Med Center	VA	Cash pay	N/A	outpatient	cash	$61.25
Carilion Franklin Memorial Hospital	VA	Cash pay	N/A	outpatient	cash	$61.25
Carilion Tazewell Community Hospital	VA	Cash pay	N/A	outpatient	cash	$61.25
Carilion Giles Community Hospital	VA	Cash pay	N/A	outpatient	cash	$61.25
Carilion Stonewall Jackson Hospital	VA	Cash pay	N/A	outpatient	cash	$61.25
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$38.50
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$36.50
Lynn House Of Potomac Valley Inc.	VA	Cash pay	N/A	outpatient	cash	$35.50
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	$43.48
Carilion New River Valley Med Center	VA	[De-identified Min]	—	outpatient	min	$43.48
Carilion Franklin Memorial Hospital	VA	[De-identified Min]	—	outpatient	min	$43.48
Carilion Giles Community Hospital	VA	[De-identified Min]	—	outpatient	min	$43.48
Carilion Stonewall Jackson Hospital	VA	[De-identified Min]	—	outpatient	min	$43.48
Carilion Tazewell Community Hospital	VA	[De-identified Min]	—	outpatient	min	$39.34
Lynn House Of Potomac Valley Inc.	VA	[De-identified Min]	—	outpatient	min	$25.00
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	$168.00
Carilion Medical Center	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion Medical Center	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion New River Valley Med Center	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion New River Valley Med Center	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion Franklin Memorial Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion Franklin Memorial Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion Tazewell Community Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion Tazewell Community Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion Giles Community Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion Giles Community Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion Stonewall Jackson Hospital	VA	gateway - tier 1	Commercial	outpatient	negotiated	$166.25
Carilion Stonewall Jackson Hospital	VA	vhn - secondary payors	Commercial	outpatient	negotiated	$166.25
Carilion Medical Center	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion New River Valley Med Center	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion Franklin Memorial Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion Tazewell Community Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion Giles Community Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion Stonewall Jackson Hospital	VA	vhn - link	Commercial	outpatient	negotiated	$157.50
Carilion Tazewell Community Hospital	VA	integrated health plan	Commercial	outpatient	negotiated	$148.75
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$143.05
Carilion Medical Center	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion Medical Center	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion New River Valley Med Center	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion New River Valley Med Center	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion Franklin Memorial Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion Franklin Memorial Hospital	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion Tazewell Community Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion Tazewell Community Hospital	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion Giles Community Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion Giles Community Hospital	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion Stonewall Jackson Hospital	VA	gateway - tier 2	Commercial	outpatient	negotiated	$140.00
Carilion Stonewall Jackson Hospital	VA	vhn	Commercial	outpatient	negotiated	$140.00
Carilion Medical Center	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion New River Valley Med Center	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion Franklin Memorial Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion Tazewell Community Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion Giles Community Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion Stonewall Jackson Hospital	VA	vhn - plus	Commercial	outpatient	negotiated	$134.75
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$126.11
Carilion Medical Center	VA	Cigna	Commercial	outpatient	negotiated	$126.00
Carilion New River Valley Med Center	VA	Cigna	Commercial	outpatient	negotiated	$126.00
Carilion Franklin Memorial Hospital	VA	Cigna	Commercial	outpatient	negotiated	$126.00
Carilion Giles Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$126.00
Carilion Stonewall Jackson Hospital	VA	Cigna	Commercial	outpatient	negotiated	$126.00
Carilion Medical Center	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion New River Valley Med Center	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion Franklin Memorial Hospital	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion Tazewell Community Hospital	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion Giles Community Hospital	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion Stonewall Jackson Hospital	VA	connecticare	Commercial	outpatient	negotiated	$122.50
Carilion Tazewell Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$118.48
Carilion Medical Center	VA	Cigna	Commercial	outpatient	negotiated	$117.95
Carilion New River Valley Med Center	VA	Cigna	Commercial	outpatient	negotiated	$117.95
Carilion Franklin Memorial Hospital	VA	Cigna	Commercial	outpatient	negotiated	$117.95
Carilion Giles Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$117.95
Carilion Stonewall Jackson Hospital	VA	Cigna	Commercial	outpatient	negotiated	$117.95
Carilion Medical Center	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion New River Valley Med Center	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion Franklin Memorial Hospital	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion Tazewell Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion Giles Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion Stonewall Jackson Hospital	VA	Aetna	Commercial	outpatient	negotiated	$116.20
Carilion Tazewell Community Hospital	VA	Cigna	Commercial	outpatient	negotiated	$111.13
Carilion Medical Center	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Medical Center	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion New River Valley Med Center	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion New River Valley Med Center	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Franklin Memorial Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion Franklin Memorial Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Tazewell Community Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Tazewell Community Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion Giles Community Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Giles Community Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion Stonewall Jackson Hospital	VA	sentara health plan	Commercial	outpatient	negotiated	$108.50
Carilion Stonewall Jackson Hospital	VA	vhn - ultra	Commercial	outpatient	negotiated	$108.50
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$100.05
Carilion Medical Center	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion New River Valley Med Center	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion Franklin Memorial Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion Tazewell Community Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion Giles Community Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion Stonewall Jackson Hospital	VA	gateway - tier 3	Commercial	outpatient	negotiated	$96.25
Carilion Medical Center	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion New River Valley Med Center	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion Franklin Memorial Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion Tazewell Community Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion Giles Community Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion Stonewall Jackson Hospital	VA	Aetna	Choice POS II	outpatient	negotiated	$90.65
Carilion Medical Center	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion New River Valley Med Center	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion Franklin Memorial Hospital	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion Tazewell Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion Giles Community Hospital	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion Stonewall Jackson Hospital	VA	Aetna	Commercial	outpatient	negotiated	$89.08
Carilion Medical Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion New River Valley Med Center	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion Giles Community Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Commercial	outpatient	negotiated	$87.68
Carilion Medical Center	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Medical Center	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Medical Center	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion New River Valley Med Center	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion New River Valley Med Center	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion New River Valley Med Center	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Franklin Memorial Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Franklin Memorial Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Franklin Memorial Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Tazewell Community Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Tazewell Community Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Tazewell Community Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Giles Community Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Giles Community Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Giles Community Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Stonewall Jackson Hospital	VA	UnitedHealthcare	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Stonewall Jackson Hospital	VA	First Health	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Stonewall Jackson Hospital	VA	Humana	Managed Medicaid	outpatient	negotiated	$45.55
Carilion Medical Center	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion New River Valley Med Center	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion Franklin Memorial Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion Tazewell Community Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion Giles Community Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion Stonewall Jackson Hospital	VA	sentara health plan	Managed Medicaid	outpatient	negotiated	$44.31
Carilion Medical Center	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion New River Valley Med Center	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion Franklin Memorial Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion Tazewell Community Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion Giles Community Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion Stonewall Jackson Hospital	VA	Anthem BCBS	Managed Medicaid	outpatient	negotiated	$43.48
Carilion Tazewell Community Hospital	VA	corvel	Disability Management	outpatient	negotiated	$39.34
Childrens Hospital Of The Kings Da	VA	[De-identified Max]	—	outpatient	max	$337.35
Carilion Tazewell Community Hospital	VA	[De-identified Max]	—	outpatient	max	$168.00
Carilion Medical Center	VA	[De-identified Max]	—	outpatient	max	$166.25
Carilion New River Valley Med Center	VA	[De-identified Max]	—	outpatient	max	$166.25
Carilion Franklin Memorial Hospital	VA	[De-identified Max]	—	outpatient	max	$166.25
Carilion Giles Community Hospital	VA	[De-identified Max]	—	outpatient	max	$166.25
Carilion Stonewall Jackson Hospital	VA	[De-identified Max]	—	outpatient	max	$166.25
Lynn House Of Potomac Valley Inc.	VA	[De-identified Max]	—	outpatient	max	$25.00
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).