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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

Hospitals
10
Payers
22
Negotiated range
$10.57 – $797.01
Negotiated median
$56.25
CPT 99213 Office visit, established patient, 20-29 minutes · Showing 184 of 582 rate rows
CmpHospitalSTPayerPlanSettingTypeRate
HARLAN ARHKYChargemasterN/Ainpatientgross$857
HIGHLANDS REGIONAL MEDICAL CENTERKYChargemasterN/Aoutpatientgross$857
HAZARD ARHKYChargemasterN/Abothgross$742
WHITESBURG ARHKYChargemasterN/Aoutpatientgross$502
SPRING VIEW HOSPITALKYChargemasterN/Aoutpatientgross$424.44
TUG VALLEY ARHKYChargemasterN/Aoutpatientgross$227
JENNIE STUART MEDICAL CENTERKYChargemasterN/Abothgross$168
MIDDLESBORO ARHKYChargemasterN/Abothgross$145
PAINTSVILLE ARH HOSPITALKYChargemasterN/Abothgross$74
MCDOWELL ARHKYChargemasterN/Aoutpatientgross$74
HARLAN ARHKYCash payN/Aoutpatientcash$514.2
WHITESBURG ARHKYCash payN/Ainpatientcash$301.2
SPRING VIEW HOSPITALKYCash payN/Aoutpatientcash$169.78
TUG VALLEY ARHKYCash payN/Abothcash$136.2
JENNIE STUART MEDICAL CENTERKYCash payN/Abothcash$52.08
PAINTSVILLE ARH HOSPITALKYCash payN/Aoutpatientcash$44.4
MCDOWELL ARHKYCash payN/Abothcash$44.4
HAZARD ARHKYCash payN/Aoutpatientcash$44.4
MIDDLESBORO ARHKYCash payN/Aoutpatientcash$44.4
HIGHLANDS REGIONAL MEDICAL CENTERKYCash payN/Aoutpatientcash$44.4
HARLAN ARHKY[De-identified Min]inpatientmin$137.12
SPRING VIEW HOSPITALKY[De-identified Min]outpatientmin$106.41
TUG VALLEY ARHKY[De-identified Min]outpatientmin$79.56
MIDDLESBORO ARHKY[De-identified Min]inpatientmin$58.94
HIGHLANDS REGIONAL MEDICAL CENTERKY[De-identified Min]bothmin$42.63
WHITESBURG ARHKY[De-identified Min]bothmin$40.36
HAZARD ARHKY[De-identified Min]bothmin$40.36
JENNIE STUART MEDICAL CENTERKY[De-identified Min]bothmin$40.36
MCDOWELL ARHKY[De-identified Min]outpatientmin$12.58
PAINTSVILLE ARH HOSPITALKY[De-identified Min]outpatientmin$10.57
HARLAN ARHKYAetnaCommercialinpatientnegotiated$797.01
HARLAN ARHKYAnthem BCBSCommercialoutpatientnegotiated$749.28
HAZARD ARHKYAnthem BCBSCommercialoutpatientnegotiated$648.73
HARLAN ARHKYUnitedHealthcareCommercialoutpatientnegotiated$639.32
HARLAN ARHKYumrCommercialoutpatientnegotiated$639.32
HAZARD ARHKYAetnaCommercialbothnegotiated$610.2
HIGHLANDS REGIONAL MEDICAL CENTERKYAetnaCommercialoutpatientnegotiated$593.9
MIDDLESBORO ARHKYUnitedHealthcareCommercialoutpatientnegotiated$521.5
HARLAN ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$514.2
TUG VALLEY ARHKYAetnaCommercialbothnegotiated$468
WHITESBURG ARHKYAetnaCommercialoutpatientnegotiated$451.8
HAZARD ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$445.2
WHITESBURG ARHKYAnthem BCBSCommercialoutpatientnegotiated$438.9
TUG VALLEY ARHKYUnitedHealthcareCommercialoutpatientnegotiated$372.84
WHITESBURG ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$301.2
HIGHLANDS REGIONAL MEDICAL CENTERKYHumanaMedicaidoutpatientnegotiated$255.99
MIDDLESBORO ARHKYumrCommercialoutpatientnegotiated$239.15
HARLAN ARHKYWellCareMedicaidoutpatientnegotiated$222.82
MIDDLESBORO ARHKYAetnaCommercialinpatientnegotiated$211.11
MIDDLESBORO ARHKYAnthem BCBSCommercialoutpatientnegotiated$198.47
TUG VALLEY ARHKYAnthem BCBSCommercialoutpatientnegotiated$188.55
MIDDLESBORO ARHKYWellCareMedicaidoutpatientnegotiated$175
WHITESBURG ARHKYumrCommercialoutpatientnegotiated$173.43
WHITESBURG ARHKYUnitedHealthcareCommercialoutpatientnegotiated$173.43
HAZARD ARHKYumrCommercialoutpatientnegotiated$167.98
HAZARD ARHKYUnitedHealthcareCommercialoutpatientnegotiated$167.98
HAZARD ARHKYAnthem BCBSMedicaidoutpatientnegotiated$166.5
TUG VALLEY ARHKYumrCommercialoutpatientnegotiated$162.76
JENNIE STUART MEDICAL CENTERKYHumanaCommercialbothnegotiated$160.02
HAZARD ARHKYMolinaMedicaidoutpatientnegotiated$152.14
JENNIE STUART MEDICAL CENTERKYHumanaGovernmentbothnegotiated$151.2
JENNIE STUART MEDICAL CENTERKYcommonwealth health allianceCommercialbothnegotiated$151.2
WHITESBURG ARHKYAnthem BCBSMedicaidoutpatientnegotiated$145.58
JENNIE STUART MEDICAL CENTERKYMultiplanCommercialbothnegotiated$142.8
JENNIE STUART MEDICAL CENTERKYFirst HealthCommercialbothnegotiated$142.8
HARLAN ARHKYMolinaMedicaidoutpatientnegotiated$139.86
HARLAN ARHKYAetnaMedicaidoutpatientnegotiated$137.12
HARLAN ARHKYAnthem BCBSMedicaidoutpatientnegotiated$137.12
HARLAN ARHKYHumanaMedicaidoutpatientnegotiated$137.12
MIDDLESBORO ARHKYAnthem BCBSMedicaidoutpatientnegotiated$128.52
JENNIE STUART MEDICAL CENTERKYUnitedHealthcareCommercialbothnegotiated$126.6
JENNIE STUART MEDICAL CENTERKYCignaCommercialbothnegotiated$126.6
JENNIE STUART MEDICAL CENTERKYAetnaCommercialbothnegotiated$126.6
JENNIE STUART MEDICAL CENTERKYcenter careCommercialbothnegotiated$126.6
PAINTSVILLE ARH HOSPITALKYUnitedHealthcareMedicaidoutpatientnegotiated$122.38
PAINTSVILLE ARH HOSPITALKYAnthem BCBSMedicaidoutpatientnegotiated$122.38
PAINTSVILLE ARH HOSPITALKYumrCommercialoutpatientnegotiated$119.4
MIDDLESBORO ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$92.81
TUG VALLEY ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$92.81
HIGHLANDS REGIONAL MEDICAL CENTERKYcaresoure kentuckyCommercialoutpatientnegotiated$92.81
JENNIE STUART MEDICAL CENTERKYCignaMedicare Advantageoutpatientnegotiated$83.3
JENNIE STUART MEDICAL CENTERKYWellCareMedicare Advantageoutpatientnegotiated$83.3
TUG VALLEY ARHKYAnthem BCBSMedicaidoutpatientnegotiated$79.56
JENNIE STUART MEDICAL CENTERKYalliance coalCommercialbothnegotiated$73.4
WHITESBURG ARHKYHumanaMedicaidoutpatientnegotiated$67.8
TUG VALLEY ARHKYthe health planMedicaidbothnegotiated$65.14
MCDOWELL ARHKYAetnaCommercialbothnegotiated$65.12
PAINTSVILLE ARH HOSPITALKYAnthem BCBSCommercialoutpatientnegotiated$64.7
JENNIE STUART MEDICAL CENTERKYAetnaMedicare Advantagebothnegotiated$64.23
MCDOWELL ARHKYAnthem BCBSCommercialoutpatientnegotiated$61.46
JENNIE STUART MEDICAL CENTERKYCareSourceMedicare Advantagebothnegotiated$61.17
JENNIE STUART MEDICAL CENTERKYUnitedHealthcareMedicare Advantagebothnegotiated$61.17
JENNIE STUART MEDICAL CENTERKYAnthem BCBSMedicare Advantage HMO/PPObothnegotiated$61.17
JENNIE STUART MEDICAL CENTERKYamerigroupMedicare Advantagebothnegotiated$61.17
JENNIE STUART MEDICAL CENTERKYva community care networkMedicare Advantagebothnegotiated$61.17
JENNIE STUART MEDICAL CENTERKYHumanaMedicare Advantagebothnegotiated$61.17
WHITESBURG ARHKYWellCareMedicaidoutpatientnegotiated$56.75
MCDOWELL ARHKYUnitedHealthcareMedicareoutpatientnegotiated$56.61
MIDDLESBORO ARHKYoptum ccn region 2Veterans Affairs Planoutpatientnegotiated$56.25
WHITESBURG ARHKYAetnaMedicarebothnegotiated$56.25
WHITESBURG ARHKYoptum ccn region 1Veterans Affairs Planoutpatientnegotiated$56.25
WHITESBURG ARHKYoptum ccn region 2Veterans Affairs Planoutpatientnegotiated$56.25
WHITESBURG ARHKYUnitedHealthcareMedicareoutpatientnegotiated$56.25
WHITESBURG ARHKYWellCareMedicareoutpatientnegotiated$56.25
HIGHLANDS REGIONAL MEDICAL CENTERKYAetnaMedicarebothnegotiated$56.25
HIGHLANDS REGIONAL MEDICAL CENTERKYoptum ccn region 1Veterans Affairs Planoutpatientnegotiated$56.25
HIGHLANDS REGIONAL MEDICAL CENTERKYoptum ccn region 2Veterans Affairs Planoutpatientnegotiated$56.25
HIGHLANDS REGIONAL MEDICAL CENTERKYUnitedHealthcareMedicarebothnegotiated$56.25
HIGHLANDS REGIONAL MEDICAL CENTERKYWellCareMedicarebothnegotiated$56.25
MIDDLESBORO ARHKYAetnaMedicarebothnegotiated$56.25
MIDDLESBORO ARHKYoptum ccn region 1Veterans Affairs Planoutpatientnegotiated$56.25
MIDDLESBORO ARHKYUnitedHealthcareMedicareoutpatientnegotiated$56.25
MIDDLESBORO ARHKYWellCareMedicarebothnegotiated$56.25
HAZARD ARHKYAetnaMedicareoutpatientnegotiated$56.25
HAZARD ARHKYoptum ccn region 1Veterans Affairs Planoutpatientnegotiated$56.25
HAZARD ARHKYoptum ccn region 2Veterans Affairs Planbothnegotiated$56.25
HAZARD ARHKYUnitedHealthcareMedicareoutpatientnegotiated$56.25
HAZARD ARHKYWellCareMedicareoutpatientnegotiated$56.25
TUG VALLEY ARHKYAetnaMedicarebothnegotiated$56.25
TUG VALLEY ARHKYoptum ccn region 1Veterans Affairs Planbothnegotiated$56.25
TUG VALLEY ARHKYoptum ccn region 2Veterans Affairs Planbothnegotiated$56.25
TUG VALLEY ARHKYthe health planMedicarebothnegotiated$56.25
TUG VALLEY ARHKYUnitedHealthcareMedicarebothnegotiated$56.25
TUG VALLEY ARHKYWellCareMedicarebothnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYAetnaMedicareoutpatientnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYoptum ccn region 1Veterans Affairs Planbothnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYoptum ccn region 2Veterans Affairs Planbothnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYUnitedHealthcareMedicareoutpatientnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYWellCareMedicarebothnegotiated$56.25
PAINTSVILLE ARH HOSPITALKYAetnaCommercialbothnegotiated$55.5
MCDOWELL ARHKYUnitedHealthcareCommercialoutpatientnegotiated$55.06
MCDOWELL ARHKYumrCommercialoutpatientnegotiated$55.06
HAZARD ARHKYAetnaMedicaidbothnegotiated$50.09
WHITESBURG ARHKYAetnaMedicaidbothnegotiated$50.09
TUG VALLEY ARHKYAetnaMedicaidoutpatientnegotiated$50.09
MCDOWELL ARHKYcaresoure kentuckyCommercialoutpatientnegotiated$48.1
HIGHLANDS REGIONAL MEDICAL CENTERKYAnthem BCBSCommercialoutpatientnegotiated$44.1
MIDDLESBORO ARHKYMolinaMedicaidoutpatientnegotiated$41.68
MIDDLESBORO ARHKYHumanaChoice Careoutpatientnegotiated$41.68
HAZARD ARHKYWellCareMedicaidbothnegotiated$40.36
PAINTSVILLE ARH HOSPITALKYWellCareMedicaidoutpatientnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYUnitedHealthcareManaged Medicaidbothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYbeacon healthManaged Medicaidbothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYAnthem BCBSHPN/HMObothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYchristian county health dept-cchdCommercialbothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYAetnaManaged Medicaidbothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYAnthem BCBSTraditional/PPO/HMO/HICbothnegotiated$40.36
JENNIE STUART MEDICAL CENTERKYWellCareManaged Medicaidbothnegotiated$40.36
MCDOWELL ARHKYAetnaMedicareoutpatientnegotiated$39.78
MCDOWELL ARHKYWellCareMedicaidoutpatientnegotiated$38.98
PAINTSVILLE ARH HOSPITALKYUnitedHealthcareCommercialoutpatientnegotiated$38.92
MCDOWELL ARHKYAnthem BCBSMedicaidoutpatientnegotiated$38.59
MCDOWELL ARHKYoptum ccn region 1Veterans Affairs Planoutpatientnegotiated$38.59
WHITESBURG ARHKYMolinaMedicaidoutpatientnegotiated$37.05
TUG VALLEY ARHKYMolinaMedicaidoutpatientnegotiated$34.73
HIGHLANDS REGIONAL MEDICAL CENTERKYumrCommercialoutpatientnegotiated$32.93
HIGHLANDS REGIONAL MEDICAL CENTERKYUnitedHealthcareCommercialoutpatientnegotiated$32.93
PAINTSVILLE ARH HOSPITALKYHumanaMedicaidoutpatientnegotiated$32.42
PAINTSVILLE ARH HOSPITALKYAetnaMedicaidoutpatientnegotiated$32.42
MCDOWELL ARHKYAetnaMedicaidoutpatientnegotiated$26.01
MCDOWELL ARHKYHumanaMedicareoutpatientnegotiated$26.01
HIGHLANDS REGIONAL MEDICAL CENTERKYMolinaMedicaidoutpatientnegotiated$21.89
HIGHLANDS REGIONAL MEDICAL CENTERKYAetnaMedicaidoutpatientnegotiated$21.46
HIGHLANDS REGIONAL MEDICAL CENTERKYAnthem BCBSMedicaidoutpatientnegotiated$21.46
TUG VALLEY ARHKYWellCareMedicaidoutpatientnegotiated$17.02
HAZARD ARHKYHumanaMedicaidoutpatientnegotiated$16.61
MIDDLESBORO ARHKYAetnaMedicaidoutpatientnegotiated$13.59
MCDOWELL ARHKYMolinaMedicaidoutpatientnegotiated$12.83
MCDOWELL ARHKYoptum ccn region 2Veterans Affairs Planoutpatientnegotiated$12.58
MCDOWELL ARHKYAnthem BCBSMedicare Advantageoutpatientnegotiated$12.58
MCDOWELL ARHKYHumanaMedicaidoutpatientnegotiated$12.58
MCDOWELL ARHKYWellCareMedicareoutpatientnegotiated$12.58
TUG VALLEY ARHKYHumanaMedicaidoutpatientnegotiated$11.32
PAINTSVILLE ARH HOSPITALKYMolinaMedicaidoutpatientnegotiated$10.57
HARLAN ARHKY[De-identified Max]outpatientmax$797.01
PAINTSVILLE ARH HOSPITALKY[De-identified Max]outpatientmax$749.28
HAZARD ARHKY[De-identified Max]outpatientmax$610.2
WHITESBURG ARHKY[De-identified Max]outpatientmax$466.86
SPRING VIEW HOSPITALKY[De-identified Max]outpatientmax$424.44
MIDDLESBORO ARHKY[De-identified Max]outpatientmax$298.53
MCDOWELL ARHKY[De-identified Max]outpatientmax$199.76
JENNIE STUART MEDICAL CENTERKY[De-identified Max]outpatientmax$141.61
TUG VALLEY ARHKY[De-identified Max]bothmax$92.81
HIGHLANDS REGIONAL MEDICAL CENTERKY[De-identified Max]outpatientmax$92.81

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).