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Search hospital rates
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
| Cmp | Hospital | ST | Payer | Plan | Setting | Type | Rate |
|---|---|---|---|---|---|---|---|
| HARLAN ARH | KY | Chargemaster | N/A | inpatient | gross | $857 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Chargemaster | N/A | outpatient | gross | $857 | |
| HAZARD ARH | KY | Chargemaster | N/A | both | gross | $742 | |
| WHITESBURG ARH | KY | Chargemaster | N/A | outpatient | gross | $502 | |
| SPRING VIEW HOSPITAL | KY | Chargemaster | N/A | outpatient | gross | $424.44 | |
| TUG VALLEY ARH | KY | Chargemaster | N/A | outpatient | gross | $227 | |
| JENNIE STUART MEDICAL CENTER | KY | Chargemaster | N/A | both | gross | $168 | |
| MIDDLESBORO ARH | KY | Chargemaster | N/A | both | gross | $145 | |
| PAINTSVILLE ARH HOSPITAL | KY | Chargemaster | N/A | both | gross | $74 | |
| MCDOWELL ARH | KY | Chargemaster | N/A | outpatient | gross | $74 | |
| HARLAN ARH | KY | Cash pay | N/A | outpatient | cash | $514.2 | |
| WHITESBURG ARH | KY | Cash pay | N/A | inpatient | cash | $301.2 | |
| SPRING VIEW HOSPITAL | KY | Cash pay | N/A | outpatient | cash | $169.78 | |
| TUG VALLEY ARH | KY | Cash pay | N/A | both | cash | $136.2 | |
| JENNIE STUART MEDICAL CENTER | KY | Cash pay | N/A | both | cash | $52.08 | |
| PAINTSVILLE ARH HOSPITAL | KY | Cash pay | N/A | outpatient | cash | $44.4 | |
| MCDOWELL ARH | KY | Cash pay | N/A | both | cash | $44.4 | |
| HAZARD ARH | KY | Cash pay | N/A | outpatient | cash | $44.4 | |
| MIDDLESBORO ARH | KY | Cash pay | N/A | outpatient | cash | $44.4 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Cash pay | N/A | outpatient | cash | $44.4 | |
| HARLAN ARH | KY | [De-identified Min] | — | inpatient | min | $137.12 | |
| SPRING VIEW HOSPITAL | KY | [De-identified Min] | — | outpatient | min | $106.41 | |
| TUG VALLEY ARH | KY | [De-identified Min] | — | outpatient | min | $79.56 | |
| MIDDLESBORO ARH | KY | [De-identified Min] | — | inpatient | min | $58.94 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | [De-identified Min] | — | both | min | $42.63 | |
| WHITESBURG ARH | KY | [De-identified Min] | — | both | min | $40.36 | |
| HAZARD ARH | KY | [De-identified Min] | — | both | min | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | [De-identified Min] | — | both | min | $40.36 | |
| MCDOWELL ARH | KY | [De-identified Min] | — | outpatient | min | $12.58 | |
| PAINTSVILLE ARH HOSPITAL | KY | [De-identified Min] | — | outpatient | min | $10.57 | |
| HARLAN ARH | KY | Aetna | Commercial | inpatient | negotiated | $797.01 | |
| HARLAN ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $749.28 | |
| HAZARD ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $648.73 | |
| HARLAN ARH | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $639.32 | |
| HARLAN ARH | KY | umr | Commercial | outpatient | negotiated | $639.32 | |
| HAZARD ARH | KY | Aetna | Commercial | both | negotiated | $610.2 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Aetna | Commercial | outpatient | negotiated | $593.9 | |
| MIDDLESBORO ARH | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $521.5 | |
| HARLAN ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $514.2 | |
| TUG VALLEY ARH | KY | Aetna | Commercial | both | negotiated | $468 | |
| WHITESBURG ARH | KY | Aetna | Commercial | outpatient | negotiated | $451.8 | |
| HAZARD ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $445.2 | |
| WHITESBURG ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $438.9 | |
| TUG VALLEY ARH | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $372.84 | |
| WHITESBURG ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $301.2 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Humana | Medicaid | outpatient | negotiated | $255.99 | |
| MIDDLESBORO ARH | KY | umr | Commercial | outpatient | negotiated | $239.15 | |
| HARLAN ARH | KY | WellCare | Medicaid | outpatient | negotiated | $222.82 | |
| MIDDLESBORO ARH | KY | Aetna | Commercial | inpatient | negotiated | $211.11 | |
| MIDDLESBORO ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $198.47 | |
| TUG VALLEY ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $188.55 | |
| MIDDLESBORO ARH | KY | WellCare | Medicaid | outpatient | negotiated | $175 | |
| WHITESBURG ARH | KY | umr | Commercial | outpatient | negotiated | $173.43 | |
| WHITESBURG ARH | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $173.43 | |
| HAZARD ARH | KY | umr | Commercial | outpatient | negotiated | $167.98 | |
| HAZARD ARH | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $167.98 | |
| HAZARD ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $166.5 | |
| TUG VALLEY ARH | KY | umr | Commercial | outpatient | negotiated | $162.76 | |
| JENNIE STUART MEDICAL CENTER | KY | Humana | Commercial | both | negotiated | $160.02 | |
| HAZARD ARH | KY | Molina | Medicaid | outpatient | negotiated | $152.14 | |
| JENNIE STUART MEDICAL CENTER | KY | Humana | Government | both | negotiated | $151.2 | |
| JENNIE STUART MEDICAL CENTER | KY | commonwealth health alliance | Commercial | both | negotiated | $151.2 | |
| WHITESBURG ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $145.58 | |
| JENNIE STUART MEDICAL CENTER | KY | Multiplan | Commercial | both | negotiated | $142.8 | |
| JENNIE STUART MEDICAL CENTER | KY | First Health | Commercial | both | negotiated | $142.8 | |
| HARLAN ARH | KY | Molina | Medicaid | outpatient | negotiated | $139.86 | |
| HARLAN ARH | KY | Aetna | Medicaid | outpatient | negotiated | $137.12 | |
| HARLAN ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $137.12 | |
| HARLAN ARH | KY | Humana | Medicaid | outpatient | negotiated | $137.12 | |
| MIDDLESBORO ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $128.52 | |
| JENNIE STUART MEDICAL CENTER | KY | UnitedHealthcare | Commercial | both | negotiated | $126.6 | |
| JENNIE STUART MEDICAL CENTER | KY | Cigna | Commercial | both | negotiated | $126.6 | |
| JENNIE STUART MEDICAL CENTER | KY | Aetna | Commercial | both | negotiated | $126.6 | |
| JENNIE STUART MEDICAL CENTER | KY | center care | Commercial | both | negotiated | $126.6 | |
| PAINTSVILLE ARH HOSPITAL | KY | UnitedHealthcare | Medicaid | outpatient | negotiated | $122.38 | |
| PAINTSVILLE ARH HOSPITAL | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $122.38 | |
| PAINTSVILLE ARH HOSPITAL | KY | umr | Commercial | outpatient | negotiated | $119.4 | |
| MIDDLESBORO ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $92.81 | |
| TUG VALLEY ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $92.81 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | caresoure kentucky | Commercial | outpatient | negotiated | $92.81 | |
| JENNIE STUART MEDICAL CENTER | KY | Cigna | Medicare Advantage | outpatient | negotiated | $83.3 | |
| JENNIE STUART MEDICAL CENTER | KY | WellCare | Medicare Advantage | outpatient | negotiated | $83.3 | |
| TUG VALLEY ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $79.56 | |
| JENNIE STUART MEDICAL CENTER | KY | alliance coal | Commercial | both | negotiated | $73.4 | |
| WHITESBURG ARH | KY | Humana | Medicaid | outpatient | negotiated | $67.8 | |
| TUG VALLEY ARH | KY | the health plan | Medicaid | both | negotiated | $65.14 | |
| MCDOWELL ARH | KY | Aetna | Commercial | both | negotiated | $65.12 | |
| PAINTSVILLE ARH HOSPITAL | KY | Anthem BCBS | Commercial | outpatient | negotiated | $64.7 | |
| JENNIE STUART MEDICAL CENTER | KY | Aetna | Medicare Advantage | both | negotiated | $64.23 | |
| MCDOWELL ARH | KY | Anthem BCBS | Commercial | outpatient | negotiated | $61.46 | |
| JENNIE STUART MEDICAL CENTER | KY | CareSource | Medicare Advantage | both | negotiated | $61.17 | |
| JENNIE STUART MEDICAL CENTER | KY | UnitedHealthcare | Medicare Advantage | both | negotiated | $61.17 | |
| JENNIE STUART MEDICAL CENTER | KY | Anthem BCBS | Medicare Advantage HMO/PPO | both | negotiated | $61.17 | |
| JENNIE STUART MEDICAL CENTER | KY | amerigroup | Medicare Advantage | both | negotiated | $61.17 | |
| JENNIE STUART MEDICAL CENTER | KY | va community care network | Medicare Advantage | both | negotiated | $61.17 | |
| JENNIE STUART MEDICAL CENTER | KY | Humana | Medicare Advantage | both | negotiated | $61.17 | |
| WHITESBURG ARH | KY | WellCare | Medicaid | outpatient | negotiated | $56.75 | |
| MCDOWELL ARH | KY | UnitedHealthcare | Medicare | outpatient | negotiated | $56.61 | |
| MIDDLESBORO ARH | KY | optum ccn region 2 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| WHITESBURG ARH | KY | Aetna | Medicare | both | negotiated | $56.25 | |
| WHITESBURG ARH | KY | optum ccn region 1 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| WHITESBURG ARH | KY | optum ccn region 2 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| WHITESBURG ARH | KY | UnitedHealthcare | Medicare | outpatient | negotiated | $56.25 | |
| WHITESBURG ARH | KY | WellCare | Medicare | outpatient | negotiated | $56.25 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Aetna | Medicare | both | negotiated | $56.25 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | optum ccn region 1 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | optum ccn region 2 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | UnitedHealthcare | Medicare | both | negotiated | $56.25 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | WellCare | Medicare | both | negotiated | $56.25 | |
| MIDDLESBORO ARH | KY | Aetna | Medicare | both | negotiated | $56.25 | |
| MIDDLESBORO ARH | KY | optum ccn region 1 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| MIDDLESBORO ARH | KY | UnitedHealthcare | Medicare | outpatient | negotiated | $56.25 | |
| MIDDLESBORO ARH | KY | WellCare | Medicare | both | negotiated | $56.25 | |
| HAZARD ARH | KY | Aetna | Medicare | outpatient | negotiated | $56.25 | |
| HAZARD ARH | KY | optum ccn region 1 | Veterans Affairs Plan | outpatient | negotiated | $56.25 | |
| HAZARD ARH | KY | optum ccn region 2 | Veterans Affairs Plan | both | negotiated | $56.25 | |
| HAZARD ARH | KY | UnitedHealthcare | Medicare | outpatient | negotiated | $56.25 | |
| HAZARD ARH | KY | WellCare | Medicare | outpatient | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | Aetna | Medicare | both | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | optum ccn region 1 | Veterans Affairs Plan | both | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | optum ccn region 2 | Veterans Affairs Plan | both | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | the health plan | Medicare | both | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | UnitedHealthcare | Medicare | both | negotiated | $56.25 | |
| TUG VALLEY ARH | KY | WellCare | Medicare | both | negotiated | $56.25 | |
| PAINTSVILLE ARH HOSPITAL | KY | Aetna | Medicare | outpatient | negotiated | $56.25 | |
| PAINTSVILLE ARH HOSPITAL | KY | optum ccn region 1 | Veterans Affairs Plan | both | negotiated | $56.25 | |
| PAINTSVILLE ARH HOSPITAL | KY | optum ccn region 2 | Veterans Affairs Plan | both | negotiated | $56.25 | |
| PAINTSVILLE ARH HOSPITAL | KY | UnitedHealthcare | Medicare | outpatient | negotiated | $56.25 | |
| PAINTSVILLE ARH HOSPITAL | KY | WellCare | Medicare | both | negotiated | $56.25 | |
| 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 | Aetna | Medicaid | both | negotiated | $50.09 | |
| WHITESBURG ARH | KY | Aetna | Medicaid | both | negotiated | $50.09 | |
| TUG VALLEY ARH | KY | Aetna | Medicaid | outpatient | negotiated | $50.09 | |
| MCDOWELL ARH | KY | caresoure kentucky | Commercial | outpatient | negotiated | $48.1 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Anthem BCBS | Commercial | outpatient | negotiated | $44.1 | |
| MIDDLESBORO ARH | KY | Molina | Medicaid | outpatient | negotiated | $41.68 | |
| MIDDLESBORO ARH | KY | Humana | Choice Care | outpatient | negotiated | $41.68 | |
| HAZARD ARH | KY | WellCare | Medicaid | both | negotiated | $40.36 | |
| PAINTSVILLE ARH HOSPITAL | KY | WellCare | Medicaid | outpatient | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | UnitedHealthcare | Managed Medicaid | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | beacon health | Managed Medicaid | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | Anthem BCBS | HPN/HMO | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | christian county health dept-cchd | Commercial | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | Aetna | Managed Medicaid | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | Anthem BCBS | Traditional/PPO/HMO/HIC | both | negotiated | $40.36 | |
| JENNIE STUART MEDICAL CENTER | KY | WellCare | Managed Medicaid | both | negotiated | $40.36 | |
| MCDOWELL ARH | KY | Aetna | Medicare | outpatient | negotiated | $39.78 | |
| MCDOWELL ARH | KY | WellCare | Medicaid | outpatient | negotiated | $38.98 | |
| PAINTSVILLE ARH HOSPITAL | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $38.92 | |
| MCDOWELL ARH | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $38.59 | |
| MCDOWELL ARH | KY | optum ccn region 1 | Veterans Affairs Plan | outpatient | negotiated | $38.59 | |
| WHITESBURG ARH | KY | Molina | Medicaid | outpatient | negotiated | $37.05 | |
| TUG VALLEY ARH | KY | Molina | Medicaid | outpatient | negotiated | $34.73 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | umr | Commercial | outpatient | negotiated | $32.93 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | UnitedHealthcare | Commercial | outpatient | negotiated | $32.93 | |
| PAINTSVILLE ARH HOSPITAL | KY | Humana | Medicaid | outpatient | negotiated | $32.42 | |
| PAINTSVILLE ARH HOSPITAL | KY | Aetna | Medicaid | outpatient | negotiated | $32.42 | |
| MCDOWELL ARH | KY | Aetna | Medicaid | outpatient | negotiated | $26.01 | |
| MCDOWELL ARH | KY | Humana | Medicare | outpatient | negotiated | $26.01 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Molina | Medicaid | outpatient | negotiated | $21.89 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Aetna | Medicaid | outpatient | negotiated | $21.46 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | Anthem BCBS | Medicaid | outpatient | negotiated | $21.46 | |
| TUG VALLEY ARH | KY | WellCare | Medicaid | outpatient | negotiated | $17.02 | |
| HAZARD ARH | KY | Humana | Medicaid | outpatient | negotiated | $16.61 | |
| MIDDLESBORO ARH | KY | Aetna | Medicaid | outpatient | negotiated | $13.59 | |
| MCDOWELL ARH | KY | Molina | Medicaid | outpatient | negotiated | $12.83 | |
| MCDOWELL ARH | KY | optum ccn region 2 | Veterans Affairs Plan | outpatient | negotiated | $12.58 | |
| MCDOWELL ARH | KY | Anthem BCBS | Medicare Advantage | outpatient | negotiated | $12.58 | |
| MCDOWELL ARH | KY | Humana | Medicaid | outpatient | negotiated | $12.58 | |
| MCDOWELL ARH | KY | WellCare | Medicare | outpatient | negotiated | $12.58 | |
| TUG VALLEY ARH | KY | Humana | Medicaid | outpatient | negotiated | $11.32 | |
| PAINTSVILLE ARH HOSPITAL | KY | Molina | Medicaid | outpatient | negotiated | $10.57 | |
| HARLAN ARH | KY | [De-identified Max] | — | outpatient | max | $797.01 | |
| PAINTSVILLE ARH HOSPITAL | KY | [De-identified Max] | — | outpatient | max | $749.28 | |
| HAZARD ARH | KY | [De-identified Max] | — | outpatient | max | $610.2 | |
| WHITESBURG ARH | KY | [De-identified Max] | — | outpatient | max | $466.86 | |
| SPRING VIEW HOSPITAL | KY | [De-identified Max] | — | outpatient | max | $424.44 | |
| MIDDLESBORO ARH | KY | [De-identified Max] | — | outpatient | max | $298.53 | |
| MCDOWELL ARH | KY | [De-identified Max] | — | outpatient | max | $199.76 | |
| JENNIE STUART MEDICAL CENTER | KY | [De-identified Max] | — | outpatient | max | $141.61 | |
| TUG VALLEY ARH | KY | [De-identified Max] | — | both | max | $92.81 | |
| HIGHLANDS REGIONAL MEDICAL CENTER | KY | [De-identified Max] | — | outpatient | max | $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).