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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

$97.69 – $397.33

Negotiated median

$385.76

CPT 99215 Office visit, established patient, 40-54 min · Showing 185 of 185 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$987.01
Cox Medical Center Branson	MO	Chargemaster	N/A	outpatient	gross	$671.40
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$671.40
Cox-Monett Hospital	MO	Chargemaster	N/A	outpatient	gross	$671.40
Barton County Memorial Hospital	MO	Chargemaster	N/A	outpatient	gross	$671.40
Cox Medical Center Branson	MO	Chargemaster	N/A	outpatient	gross	$647.93
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$647.93
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$596.65
Missouri Delta Medical Center	MO	Chargemaster	N/A	both	gross	$477.75
Ranken Jordan	MO	Chargemaster	N/A	both	gross	$427.00
Cox Medical Center Branson	MO	Chargemaster	N/A	outpatient	gross	$413.71
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$413.71
Mercy Hospital - St. Louis	MO	Chargemaster	N/A	inpatient	gross	$397.33
Mercy Rehabilitation Hospital-Spgf	MO	Chargemaster	N/A	inpatient	gross	$385.76
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$356.62
Barton County Memorial Hospital	MO	Chargemaster	N/A	outpatient	gross	$356.62
Harrison County Community Hospital	MO	Chargemaster	N/A	outpatient	gross	$348.00
Harrison County Community Hospital	MO	Chargemaster	N/A	outpatient	gross	$338.00
Harrison County Community Hospital	MO	Chargemaster	N/A	outpatient	gross	$309.00
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$289.82
Cox Medical Center Branson	MO	Chargemaster	N/A	outpatient	gross	$289.82
Cox-Monett Hospital	MO	Chargemaster	N/A	outpatient	gross	$289.82
Barton County Memorial Hospital	MO	Chargemaster	N/A	outpatient	gross	$289.82
Coxhealth	MO	Chargemaster	N/A	outpatient	gross	$284.81
Barton County Memorial Hospital	MO	Chargemaster	N/A	outpatient	gross	$284.81
Harrison County Community Hospital	MO	Chargemaster	N/A	outpatient	gross	$196.00
Harrison County Community Hospital	MO	Chargemaster	N/A	outpatient	gross	$178.00
Ranken Jordan	MO	Cash pay	N/A	both	cash	$427.00
Mercy Hospital - St. Louis	MO	Cash pay	N/A	inpatient	cash	$397.33
Mercy Rehabilitation Hospital-Spgf	MO	Cash pay	N/A	inpatient	cash	$385.76
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$248.73
Barton County Memorial Hospital	MO	Cash pay	N/A	outpatient	cash	$214.18
Cox-Monett Hospital	MO	Cash pay	N/A	outpatient	cash	$204.78
Harrison County Community Hospital	MO	Cash pay	N/A	outpatient	cash	$174.00
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$169.19
Harrison County Community Hospital	MO	Cash pay	N/A	outpatient	cash	$169.00
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$163.28
Harrison County Community Hospital	MO	Cash pay	N/A	outpatient	cash	$154.50
Cox Medical Center Branson	MO	Cash pay	N/A	outpatient	cash	$152.41
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$150.36
Cox Medical Center Branson	MO	Cash pay	N/A	outpatient	cash	$147.08
Missouri Delta Medical Center	MO	Cash pay	N/A	both	cash	$119.44
Barton County Memorial Hospital	MO	Cash pay	N/A	outpatient	cash	$113.76
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$104.25
Harrison County Community Hospital	MO	Cash pay	N/A	outpatient	cash	$98.00
Cox Medical Center Branson	MO	Cash pay	N/A	outpatient	cash	$93.91
Barton County Memorial Hospital	MO	Cash pay	N/A	outpatient	cash	$92.45
Barton County Memorial Hospital	MO	Cash pay	N/A	outpatient	cash	$90.85
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$89.87
Harrison County Community Hospital	MO	Cash pay	N/A	outpatient	cash	$89.00
Cox-Monett Hospital	MO	Cash pay	N/A	outpatient	cash	$88.40
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$73.03
Coxhealth	MO	Cash pay	N/A	outpatient	cash	$71.77
Cox Medical Center Branson	MO	Cash pay	N/A	outpatient	cash	$65.79
Mercy Hospital - St. Louis	MO	[De-identified Min]	—	inpatient	min	$397.33
Mercy Rehabilitation Hospital-Spgf	MO	[De-identified Min]	—	inpatient	min	$231.46
Cox Medical Center Branson	MO	[De-identified Min]	—	outpatient	min	$131.27
Cox-Monett Hospital	MO	[De-identified Min]	—	outpatient	min	$124.98
Coxhealth	MO	[De-identified Min]	—	outpatient	min	$121.95
Ranken Jordan	MO	[De-identified Min]	—	both	min	$97.69
Mercy Hospital - St. Louis	MO	Aetna	Aetna/ Managed Choice POS Elect Choice and PPO Products	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Meritain Health	Meritain Health PPO CPD	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Aetna	Aetna/Commercial Product	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Meritain Health	Meritain Health CPD	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	starmark cpd	Starmark CPD	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Aetna	Aetna Medicare	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Ambetter	Ambetter	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Blue Access	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Blue Access Choice	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Blue Preferred	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Pathway	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Alliance	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	healthy blue (missouri care)	Healthy Blue (Missouri Care)	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Anthem BCBS	Anthem Medicare	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Cigna	Cigna	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Cigna	Cigna PPO	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Cigna	Cigna Medicare Advantage	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	essence	Essence	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	healthlink hmo	Healthlink HMO	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	healthlink ppo	Healthlink PPO	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	homestate health plan	HomeState Health Plan	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Humana	Humana Gold	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	Medicaid	Medicaid MO	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	medica	Medica	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	TRICARE	Tricare	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	UnitedHealthcare	UHC All Payer	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	UnitedHealthcare	UHC Exchange	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	UnitedHealthcare	UHC Medicaid	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	umr cpd	UMR CPD	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	UnitedHealthcare	UHC Medicare	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	WellCare	Wellcare	inpatient	negotiated	$397.33
Mercy Hospital - St. Louis	MO	devoted health	Devoted Health	inpatient	negotiated	$397.33
Mercy Rehabilitation Hospital-Spgf	MO	Aetna	Aetna Medicare	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	allwell from home state health	Allwell from Home State Health	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	allyalign health (nhc advantage)	AllyAlign Health (NHC Advantage)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Ambetter	AmBetter from Home State Health	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Blue Cross Blue Shield	Blue Cross Medicare	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	blue access	Blue Access	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Anthem BCBS	Anthem Alliance	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	pathway/pathway x	Pathway/Pathway X	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	architectural systems, inc. (asi)	Architectural Systems, Inc. (ASI)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	ava r1 school district (smbc)	Ava R1 School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	bakersfield school district (smbc)	Bakersfield School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	bolivar school (smbc)	Bolivar School (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	buchheit	Buchheit	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	cardinal scale (tri state healthcare coalition)	Cardinal Scale (Tri State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	carthage r-9 school district (tri-state healthcare coalition)	Carthage R-9 School District (Tri-State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Cigna	CIGNA HMO (includes Open Access Plus)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Cigna	CIGNA PPO	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	city of springfield	City of Springfield	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	city of webb city (tri state healthcare coalition)	City of Webb City (Tri State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	devoted healthcare	Devoted Healthcare	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	diversified plastics	Diversified Plastics	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	dora school district (smbc)	Dora School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	easter seals midwest	Easter Seals Midwest	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	employers benefit alliance	Employers Benefit Alliance	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	essence	Essence	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	evolutions	Evolutions	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	fabick cat	Fabick CAT	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	fair grove school district (smbc)	Fair Grove School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Health Net	Health Net Federal Services	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	health systems, inc.	Health Systems, Inc.	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	healthlink hmo	HealthLink HMO	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	healthlink ppo	HealthLink PPO	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Anthem BCBS	Healthy Blue Medicaid (Anthem)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	heart of america (tri state healthcare coalition &#8211; med pay)	Heart of America (Tri State Healthcare Coalition &#8211; Med Pay)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	hickory county skyline school district (smbc)	Hickory County Skyline School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	home state health plan, inc.	Home State Health Plan, Inc.	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Humana	Humana-Commercial products	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Humana	Humana-Medicare products	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	j and m farms, inc. (tri-state healthcare coalition)	J and M Farms, Inc. (Tri-State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	jayhawk fine chemicals/evonic(tri state healthcare coalition)	Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	laclede county school district conway (smbc)	Laclede County School District Conway (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	lebanon school district (smbc)	Lebanon School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Empire BCBS	Liberty Utilities (Empire District Electric)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	marshfield school district (smbc)	Marshfield School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	medica	Medica	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	mercy charity contract	Mercy Charity Contract	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	mers goodwill	MERS Goodwill	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Medicaid	Missouri Medicaid	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Medicaid	Missouri Medicaid Pending	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	missouri state university	Missouri State University	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	mount vernon school district (smbc)	Mount Vernon School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	mountain grove r-111 school district (smbc)	Mountain Grove R-111 School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	mountain view school district (smbc)	Mountain View School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	Multiplan	Multiplan/PHCS/Beech Street	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	ozarks community hospital	Ozarks Community Hospital	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	phcs savility	PHCS Savility	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	quality collisson group	Quality Collisson Group	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	quiktrip corporation	QuikTrip Corporation	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	richards r-v school district (smbc)	Richards R-V School District (SMBC)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	roper automotive group (tri state healthcare coalition)	Roper Automotive Group (Tri State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	s and h farm supply	S and H Farm Supply	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	schreiber foods	Schreiber Foods	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	shinesolar	ShineSolar	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	springfield public schools	Springfield Public Schools	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	springfield remanufacturing	Springfield Remanufacturing	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	trailiner	Trailiner	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	UnitedHealthcare	United Community Plan &#8211; Missouri Medicaid	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	UnitedHealthcare	United Healthcare	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	UnitedHealthcare	United Healthcare &#8211; Medicare Advantage	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	UnitedHealthcare	United HealthCare Veterans Affairs Community Care Plan	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	wal mart accountable care plan &#8211; umr	Wal Mart Accountable Care Plan &#8211; UMR	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	webb city r-vii school district (tri-state healthcare coalition)	Webb City R-VII School District (Tri-State Healthcare Coalition)	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	WellCare	WellCare Health Plans	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	woodard cleaning &#038; restoration, inc.	Woodard Cleaning &#038; Restoration, Inc.	inpatient	negotiated	$385.76
Mercy Rehabilitation Hospital-Spgf	MO	healthlink workcomp	HealthLink WorkComp	inpatient	negotiated	$327.90
Mercy Rehabilitation Hospital-Spgf	MO	Anthem BCBS	Traditional Anthem BCBS	inpatient	negotiated	$293.18
Mercy Rehabilitation Hospital-Spgf	MO	First Health	FirstHealth Network	inpatient	negotiated	$281.60
Mercy Rehabilitation Hospital-Spgf	MO	blue preferred	Blue Preferred	inpatient	negotiated	$279.48
Mercy Rehabilitation Hospital-Spgf	MO	Aetna	Aetna/ Managed Choice POS Elect Choice and PPO Products	inpatient	negotiated	$231.46
Ranken Jordan	MO	Aetna	Managed Medicaid	both	negotiated	$97.69
Ranken Jordan	MO	Blue Cross Blue Shield	Managed Medicaid	both	negotiated	$97.69
Ranken Jordan	MO	meridian healthcare of illinois mc plus	Managed Medicaid	both	negotiated	$97.69
Mercy Hospital - St. Louis	MO	[De-identified Max]	—	inpatient	max	$397.33
Missouri Delta Medical Center	MO	[De-identified Max]	—	both	max	$390.58
Mercy Rehabilitation Hospital-Spgf	MO	[De-identified Max]	—	inpatient	max	$385.76
Coxhealth	MO	[De-identified Max]	—	outpatient	max	$237.04
Cox-Monett Hospital	MO	[De-identified Max]	—	outpatient	max	$237.04
Cox Medical Center Branson	MO	[De-identified Max]	—	outpatient	max	$225.00
Coxhealth	MO	[De-identified Max]	—	outpatient	max	$147.41
Cox-Monett Hospital	MO	[De-identified Max]	—	outpatient	max	$147.41
Cox Medical Center Branson	MO	[De-identified Max]	—	outpatient	max	$140.30
Coxhealth	MO	[De-identified Max]	—	outpatient	max	$130.49
Ranken Jordan	MO	[De-identified Max]	—	both	max	$97.69

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).