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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

$91.78 – $1,420.11

Negotiated median

$165.42

CPT 99215 Office visit, established patient, 40-54 min · Showing 200 of 411 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
MIDDLESBORO ARH	KY	Aetna	Commercial	inpatient	negotiated	$1,420.11
MIDDLESBORO ARH	KY	Aetna	Commercial	outpatient	negotiated	$1,374.3
TUG VALLEY ARH	KY	Aetna	Commercial	both	negotiated	$1,374.3
HARLAN ARH	KY	Aetna	Commercial	inpatient	negotiated	$1,352.22
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,335.06
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,335.06
HARLAN ARH	KY	Aetna	Commercial	outpatient	negotiated	$1,308.6
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,271.23
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,271.23
MIDDLESBORO ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,268.33
TUG VALLEY ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,268.33
HARLAN ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,207.69
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,207.69
MIDDLESBORO ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$1,137.62
MIDDLESBORO ARH	KY	umr	Commercial	outpatient	negotiated	$1,137.62
HAZARD ARH	KY	Aetna	Commercial	both	negotiated	$1,133.1
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,100.74
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$1,094.86
TUG VALLEY ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$1,094.86
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$1,090.5
HARLAN ARH	KY	umr	Commercial	outpatient	negotiated	$1,084.68
HARLAN ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$1,084.68
HAZARD ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$1,045.73
HAZARD ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$931.66
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$931.66
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$916.2
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$916.2
HARLAN ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$872.4
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$764.8
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$764.8
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$755.4
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$428.56
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$425.78
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$425.78
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$404.5
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$404.5
MIDDLESBORO ARH	KY	WellCare	Medicaid	outpatient	negotiated	$381.75
HARLAN ARH	KY	WellCare	Medicaid	outpatient	negotiated	$378.04
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$365.25
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$362.33
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$362.33
TUG VALLEY ARH	KY	WellCare	Medicaid	outpatient	negotiated	$351.21
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	both	negotiated	$319.09
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$316.55
HAZARD ARH	KY	WellCare	Medicaid	outpatient	negotiated	$302.16
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	both	negotiated	$301.5
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	both	negotiated	$301.5
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$293.04
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$291.14
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	both	negotiated	$284.75
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	both	negotiated	$284.75
HAZARD ARH	KY	Aetna	Medicaid	outpatient	negotiated	$282.52
HAZARD ARH	KY	Molina	Medicaid	outpatient	negotiated	$282.52
HAZARD ARH	KY	Humana	Medicaid	outpatient	negotiated	$282.52
HAZARD ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$282.52
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	outpatient	negotiated	$281.22
MIDDLESBORO ARH	KY	Molina	Medicaid	outpatient	negotiated	$280.36
MIDDLESBORO ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$280.36
MIDDLESBORO ARH	KY	Aetna	Medicaid	outpatient	negotiated	$280.36
MIDDLESBORO ARH	KY	Humana	Choice Care	outpatient	negotiated	$280.36
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$276.59
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$272.95
PAINTSVILLE ARH HOSPITAL	KY	umr	Commercial	outpatient	negotiated	$256.16
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$256.16
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	both	negotiated	$252.46
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	both	negotiated	$252.46
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	both	negotiated	$252.46
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	both	negotiated	$252.46
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$248.13
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$247.75
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$247.75
HARLAN ARH	KY	Molina	Medicaid	outpatient	negotiated	$237.29
TUG VALLEY ARH	KY	Molina	Medicaid	outpatient	negotiated	$233.63
TUG VALLEY ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$233.63
TUG VALLEY ARH	KY	Aetna	Medicaid	outpatient	negotiated	$233.63
TUG VALLEY ARH	KY	Humana	Medicaid	outpatient	negotiated	$233.63
HARLAN ARH	KY	Humana	Medicaid	outpatient	negotiated	$232.64
HARLAN ARH	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$232.64
HARLAN ARH	KY	Aetna	Medicaid	outpatient	negotiated	$232.64
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$223.32
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$219.58
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$216.45
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Medicaid	outpatient	negotiated	$207.63
PAINTSVILLE ARH HOSPITAL	KY	Humana	Medicaid	outpatient	negotiated	$207.63
PAINTSVILLE ARH HOSPITAL	KY	Molina	Medicaid	outpatient	negotiated	$207.63
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicaid	outpatient	negotiated	$207.63
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicaid	outpatient	negotiated	$207.63
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$202.65
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	both	negotiated	$202.65
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	both	negotiated	$202.65
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$202.65
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$202.65
HAZARD ARH	KY	caresoure kentucky	Commercial	both	negotiated	$202.65
MCDOWELL ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$180.19
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$173.69
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$165.42
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	both	negotiated	$159.7
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$152.19
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	both	negotiated	$139.73
MCDOWELL ARH	KY	Aetna	Commercial	both	negotiated	$135.52
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$134.64
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$134.64
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	both	negotiated	$133.08
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$133.08
PAINTSVILLE ARH HOSPITAL	KY	Anthem BCBS	Commercial	outpatient	negotiated	$127.91
MCDOWELL ARH	KY	Anthem BCBS	Commercial	outpatient	negotiated	$127.91
MCDOWELL ARH	KY	Aetna	Medicare	outpatient	negotiated	$126.62
MCDOWELL ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$123.21
TUG VALLEY ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$122.82
WHITESBURG ARH	KY	WellCare	Medicare	both	negotiated	$122.82
TUG VALLEY ARH	KY	Aetna	Medicare	both	negotiated	$122.82
HIGHLANDS REGIONAL MEDICAL CENTER	KY	WellCare	Medicare	both	negotiated	$122.82
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Medicare	both	negotiated	$122.82
HAZARD ARH	KY	Aetna	Medicare	both	negotiated	$122.82
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	both	negotiated	$122.82
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$122.82
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$122.82
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$122.82
TUG VALLEY ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	both	negotiated	$122.82
WHITESBURG ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$122.82
TUG VALLEY ARH	KY	WellCare	Medicare	outpatient	negotiated	$122.82
MIDDLESBORO ARH	KY	WellCare	Medicare	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$122.82
MIDDLESBORO ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$122.82
WHITESBURG ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$122.82
MIDDLESBORO ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$122.82
WHITESBURG ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$122.82
MIDDLESBORO ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$122.82
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	both	negotiated	$122.82
TUG VALLEY ARH	KY	WellCare	Medicare	both	negotiated	$122.82
WHITESBURG ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$122.82
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$122.82
TUG VALLEY ARH	KY	the health plan	Medicare	outpatient	negotiated	$122.82
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	outpatient	negotiated	$122.82
HAZARD ARH	KY	WellCare	Medicare	outpatient	negotiated	$122.82
HAZARD ARH	KY	WellCare	Medicare	both	negotiated	$122.82
TUG VALLEY ARH	KY	the health plan	Medicare	both	negotiated	$122.82
HAZARD ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$122.82
MIDDLESBORO ARH	KY	Aetna	Medicare	outpatient	negotiated	$122.82
HAZARD ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$122.82
TUG VALLEY ARH	KY	Aetna	Medicare	outpatient	negotiated	$122.82
WHITESBURG ARH	KY	caresoure kentucky	Commercial	both	negotiated	$122.82
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$122.82
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$122.82
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$122.82
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	outpatient	negotiated	$122.82
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$122.82
WHITESBURG ARH	KY	Aetna	Medicare	outpatient	negotiated	$122.82
WHITESBURG ARH	KY	Aetna	Medicare	both	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$122.82
HAZARD ARH	KY	Aetna	Medicare	outpatient	negotiated	$122.82
WHITESBURG ARH	KY	WellCare	Medicare	outpatient	negotiated	$122.82
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	both	negotiated	$122.82
WHITESBURG ARH	KY	umr	Commercial	outpatient	negotiated	$117.66
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Commercial	both	negotiated	$115.5
MCDOWELL ARH	KY	UnitedHealthcare	Commercial	outpatient	negotiated	$114.58
MCDOWELL ARH	KY	umr	Commercial	outpatient	negotiated	$114.58
HAZARD ARH	KY	umr	Commercial	outpatient	negotiated	$113.96
TUG VALLEY ARH	KY	umr	Commercial	outpatient	negotiated	$110.42
HAZARD ARH	KY	Aetna	Medicaid	outpatient	negotiated	$109.8
HAZARD ARH	KY	Aetna	Medicaid	both	negotiated	$109.8
TUG VALLEY ARH	KY	Aetna	Medicaid	outpatient	negotiated	$109.8
WHITESBURG ARH	KY	Aetna	Medicaid	outpatient	negotiated	$109.8
WHITESBURG ARH	KY	Aetna	Medicaid	both	negotiated	$109.8
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicaid	outpatient	negotiated	$109.8
MIDDLESBORO ARH	KY	WellCare	Medicaid	outpatient	negotiated	$109.8
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicaid	both	negotiated	$109.8
MIDDLESBORO ARH	KY	Aetna	Medicaid	outpatient	negotiated	$109.8
TUG VALLEY ARH	KY	Aetna	Medicaid	both	negotiated	$109.8
TUG VALLEY ARH	KY	the health plan	Medicaid	both	negotiated	$107.57
TUG VALLEY ARH	KY	the health plan	Medicaid	outpatient	negotiated	$107.57
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Commercial	outpatient	negotiated	$106.72
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$101.98
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$100.1
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicaid	both	negotiated	$98.39
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$92.4
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	outpatient	negotiated	$92.4
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$92.4
WHITESBURG ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$92.4
HAZARD ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$92.4
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Anthem BCBS	Commercial	outpatient	negotiated	$91.78

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).