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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

$109.21 – $806.55

Negotiated median

$174.28

CPT 99215 Office visit, established patient, 40-54 min · Showing 200 of 1,069 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Gaston Memorial Hospital	NC	Chargemaster	N/A	inpatient	gross	$849.00
Gaston Memorial Hospital	NC	Chargemaster	N/A	outpatient	gross	$849.00
Harris Regional Hospital	NC	Chargemaster	N/A	outpatient	gross	$528.42
Gaston Memorial Hospital	NC	Cash pay	N/A	inpatient	cash	$849.00
Gaston Memorial Hospital	NC	Cash pay	N/A	outpatient	cash	$849.00
Harris Regional Hospital	NC	Cash pay	N/A	outpatient	cash	$211.37
Gaston Memorial Hospital	NC	[De-identified Min]	—	inpatient	min	$636.75
Atrium Health Cabarrus	NC	[De-identified Min]	—	outpatient	min	$170.92
Atrium Health Cleveland	NC	[De-identified Min]	—	outpatient	min	$170.92
Atrium Health Kings Mountain	NC	[De-identified Min]	—	outpatient	min	$170.92
Atrium Health Anson	NC	[De-identified Min]	—	outpatient	min	$170.92
Columbus Regional Healthcare System	NC	[De-identified Min]	—	outpatient	min	$167.57
Gaston Memorial Hospital	NC	[De-identified Min]	—	outpatient	min	$127.77
Atrium Health Cabarrus	NC	[De-identified Min]	—	both	min	$109.21
Atrium Health Cleveland	NC	[De-identified Min]	—	both	min	$109.21
Atrium Health Kings Mountain	NC	[De-identified Min]	—	both	min	$109.21
Atrium Health Anson	NC	[De-identified Min]	—	both	min	$109.21
Harris Regional Hospital	NC	[De-identified Min]	—	outpatient	min	$81.91
Gaston Memorial Hospital	NC	First Health	Commercial	outpatient	negotiated	$806.55
Gaston Memorial Hospital	NC	First Health	Commercial	inpatient	negotiated	$806.55
Gaston Memorial Hospital	NC	Humana	PPO	inpatient	negotiated	$747.12
Gaston Memorial Hospital	NC	Humana	PPO	outpatient	negotiated	$747.12
Gaston Memorial Hospital	NC	beech street	Commercial	inpatient	negotiated	$696.18
Gaston Memorial Hospital	NC	beech street	Commercial	outpatient	negotiated	$696.18
Gaston Memorial Hospital	NC	Multiplan	Commercial	inpatient	negotiated	$696.18
Gaston Memorial Hospital	NC	Multiplan	Commercial	outpatient	negotiated	$696.18
Gaston Memorial Hospital	NC	carolina caring	Commercial	inpatient	negotiated	$672.41
Gaston Memorial Hospital	NC	Self-Pay (Cash)	Self Pay	inpatient	negotiated	$636.75
Gaston Memorial Hospital	NC	Self-Pay (Cash)	Self Pay	outpatient	negotiated	$636.75
Gaston Memorial Hospital	NC	medcost	Commercial	outpatient	negotiated	$577.32
Gaston Memorial Hospital	NC	corporate benefits service	Commercial	outpatient	negotiated	$494.16
Gaston Memorial Hospital	NC	carolina caring	Commercial	outpatient	negotiated	$459.26
Gaston Memorial Hospital	NC	UnitedHealthcare	Commercial	outpatient	negotiated	$451.67
Atrium Health Cabarrus	NC	Aetna	Commercial	both	negotiated	$395.83
Atrium Health Cleveland	NC	Aetna	Commercial	both	negotiated	$395.83
Atrium Health Kings Mountain	NC	Aetna	Commercial	both	negotiated	$395.83
Atrium Health Anson	NC	Aetna	Commercial	both	negotiated	$395.83
Atrium Health Cabarrus	NC	Aetna	Broad Network	both	negotiated	$371.51
Atrium Health Cleveland	NC	Aetna	Broad Network	both	negotiated	$371.51
Atrium Health Kings Mountain	NC	Aetna	Broad Network	both	negotiated	$371.51
Atrium Health Anson	NC	Aetna	Broad Network	both	negotiated	$371.51
Gaston Memorial Hospital	NC	corporate benefits service	Commercial	outpatient	negotiated	$365.89
Gaston Memorial Hospital	NC	Cigna	Individual Family Plan	outpatient	negotiated	$341.69
Gaston Memorial Hospital	NC	carolina caring	Commercial	outpatient	negotiated	$340.05
Atrium Health Cabarrus	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$336.29
Atrium Health Cleveland	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$336.29
Atrium Health Kings Mountain	NC	Aetna	North Carolina Preferred Plus Commercial	both	negotiated	$336.29
Atrium Health Anson	NC	Aetna	North Carolina Preferred Plus	both	negotiated	$336.29
Gaston Memorial Hospital	NC	surgery plus	Commercial	outpatient	negotiated	$321.48
Gaston Memorial Hospital	NC	Aetna	NC Preferred	outpatient	negotiated	$275.08
Gaston Memorial Hospital	NC	Aetna	PPO	outpatient	negotiated	$275.08
Gaston Memorial Hospital	NC	gaston county jail	Other	outpatient	negotiated	$255.55
Gaston Memorial Hospital	NC	Cigna	Individual Family Plan	outpatient	negotiated	$253.00
Gaston Memorial Hospital	NC	absolute total care	Medicaid Managed Care	outpatient	negotiated	$238.48
Gaston Memorial Hospital	NC	Molina	Medicaid Managed Care	outpatient	negotiated	$238.48
Gaston Memorial Hospital	NC	surgery plus	Commercial	outpatient	negotiated	$238.04
Atrium Health Cabarrus	NC	medcost	PPO	both	negotiated	$232.15
Atrium Health Cabarrus	NC	medcost	Ultra	both	negotiated	$232.15
Atrium Health Cleveland	NC	medcost	PPO	both	negotiated	$232.15
Atrium Health Cleveland	NC	medcost	Ultra	both	negotiated	$232.15
Atrium Health Kings Mountain	NC	medcost	PPO	both	negotiated	$232.15
Atrium Health Kings Mountain	NC	medcost	Ultra	both	negotiated	$232.15
Atrium Health Anson	NC	medcost	Ultra	both	negotiated	$232.15
Atrium Health Cabarrus	NC	Aetna	Whole Health HMO	both	negotiated	$231.08
Atrium Health Cleveland	NC	Aetna	Whole Health HMO	both	negotiated	$231.08
Atrium Health Kings Mountain	NC	Aetna	Whole Health HMO	both	negotiated	$231.08
Atrium Health Anson	NC	Aetna	Whole Health HMO	both	negotiated	$231.08
Atrium Health Cabarrus	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$220.71
Atrium Health Cleveland	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$220.71
Atrium Health Kings Mountain	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$220.71
Atrium Health Anson	NC	Blue Cross Blue Shield	HMO-PPO Managed Care	both	negotiated	$220.71
Atrium Health Cabarrus	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$214.86
Atrium Health Cleveland	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$214.86
Atrium Health Kings Mountain	NC	UnitedHealthcare	HMO-PPO Managed Care	both	negotiated	$214.86
Atrium Health Cabarrus	NC	ortho carolina	Commercial	outpatient	negotiated	$209.47
Atrium Health Cabarrus	NC	employers health network	Commercial	both	negotiated	$207.68
Atrium Health Cleveland	NC	employers health network	Commercial	both	negotiated	$207.68
Atrium Health Kings Mountain	NC	employers health network	Commercial	both	negotiated	$207.68
Gaston Memorial Hospital	NC	Humana	Medicare Advantage	outpatient	negotiated	$196.56
Gaston Memorial Hospital	NC	healthteam	Medicare Advantage	outpatient	negotiated	$192.89
Gaston Memorial Hospital	NC	longevity health	Medicare Advantage	outpatient	negotiated	$192.89
Gaston Memorial Hospital	NC	Molina	Medicare Advantage	outpatient	negotiated	$192.89
Gaston Memorial Hospital	NC	devoted health	Medicare Advantage	outpatient	negotiated	$192.89
Gaston Memorial Hospital	NC	Aetna	Medicare Advantage	outpatient	negotiated	$191.05
Atrium Health Anson	NC	Ambetter	Individual Commercial	both	negotiated	$187.89
Gaston Memorial Hospital	NC	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$183.70
Gaston Memorial Hospital	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$183.70
Atrium Health Cabarrus	NC	choicecare	Commercial	both	negotiated	$177.25
Atrium Health Cabarrus	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$177.25
Atrium Health Cleveland	NC	choicecare	Commercial	both	negotiated	$177.25
Atrium Health Cleveland	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$177.25
Atrium Health Kings Mountain	NC	choicecare	Commercial	both	negotiated	$177.25
Atrium Health Kings Mountain	NC	Blue Cross Blue Shield	Local Individual Commercial	both	negotiated	$177.25
Atrium Health Anson	NC	choicecare	Commercial	both	negotiated	$177.25
Atrium Health Cabarrus	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$176.47
Atrium Health Cleveland	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$176.47
Atrium Health Kings Mountain	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$176.47
Atrium Health Anson	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$176.47
Atrium Health Cabarrus	NC	Cigna	Medicare Advantage	outpatient	negotiated	$175.95
Atrium Health Cleveland	NC	Cigna	Medicare Advantage	outpatient	negotiated	$175.95
Atrium Health Kings Mountain	NC	Cigna	Medicare Advantage	outpatient	negotiated	$175.95
Columbus Regional Healthcare System	NC	Cigna	Medicare Advantage	outpatient	negotiated	$175.95
Columbus Regional Healthcare System	NC	devoted health	Medicare Advantage	outpatient	negotiated	$174.28
Atrium Health Cabarrus	NC	Aetna	Medicare Advantage	outpatient	negotiated	$173.44
Atrium Health Cleveland	NC	Aetna	Medicare Advantage	outpatient	negotiated	$173.44
Atrium Health Kings Mountain	NC	Aetna	Medicare Advantage	outpatient	negotiated	$173.44
Columbus Regional Healthcare System	NC	Aetna	Medicare Advantage	outpatient	negotiated	$173.44
Atrium Health Anson	NC	Aetna	Medicare Advantage	outpatient	negotiated	$173.44
Columbus Regional Healthcare System	NC	Humana	Medicare Advantage	outpatient	negotiated	$172.60
Atrium Health Cabarrus	NC	Humana	Medicare Advantage	outpatient	negotiated	$170.92
Atrium Health Cleveland	NC	Humana	Medicare Advantage	outpatient	negotiated	$170.92
Atrium Health Kings Mountain	NC	Humana	Medicare Advantage	outpatient	negotiated	$170.92
Columbus Regional Healthcare System	NC	liberty	Medicare Advantage	outpatient	negotiated	$170.92
Columbus Regional Healthcare System	NC	vaya health	Medicare Advantage	outpatient	negotiated	$169.25
Atrium Health Cabarrus	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$167.74
Atrium Health Cleveland	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$167.74
Atrium Health Kings Mountain	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$167.74
Atrium Health Anson	NC	Blue Cross Blue Shield	Local Group Commercial	both	negotiated	$167.74
Columbus Regional Healthcare System	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$167.57
Columbus Regional Healthcare System	NC	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$167.57
Columbus Regional Healthcare System	NC	troy	Medicare Advantage	outpatient	negotiated	$167.57
Columbus Regional Healthcare System	NC	WellCare	Medicare Advantage	outpatient	negotiated	$167.57
Columbus Regional Healthcare System	NC	va communicare care	Medicare Advantage	outpatient	negotiated	$167.57
Atrium Health Cabarrus	NC	ortho carolina	Commercial	both	negotiated	$166.79
Atrium Health Cabarrus	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$165.16
Atrium Health Cleveland	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$165.16
Atrium Health Kings Mountain	NC	UnitedHealthcare	IEX Commercial	both	negotiated	$165.16
Gaston Memorial Hospital	NC	Humana	Medicare Advantage	outpatient	negotiated	$145.54
Gaston Memorial Hospital	NC	healthteam	Medicare Advantage	outpatient	negotiated	$142.82
Gaston Memorial Hospital	NC	longevity health	Medicare Advantage	outpatient	negotiated	$142.82
Gaston Memorial Hospital	NC	Molina	Medicare Advantage	outpatient	negotiated	$142.82
Gaston Memorial Hospital	NC	devoted health	Medicare Advantage	outpatient	negotiated	$142.82
Gaston Memorial Hospital	NC	Aetna	Medicare Advantage	outpatient	negotiated	$141.46
Atrium Health Cabarrus	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$138.48
Atrium Health Cleveland	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$138.48
Atrium Health Kings Mountain	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$138.48
Atrium Health Anson	NC	UnitedHealthcare	Medicare Advantage	both	negotiated	$138.48
Atrium Health Cabarrus	NC	Aetna	Medicare Advantage	both	negotiated	$138.10
Atrium Health Cleveland	NC	Aetna	Medicare Advantage	both	negotiated	$138.10
Atrium Health Kings Mountain	NC	Aetna	Medicare Advantage	both	negotiated	$138.10
Atrium Health Anson	NC	Aetna	Medicare Advantage	both	negotiated	$138.10
Atrium Health Cabarrus	NC	Humana	Medicare Advantage	both	negotiated	$136.10
Atrium Health Cleveland	NC	Humana	Medicare Advantage	both	negotiated	$136.10
Atrium Health Kings Mountain	NC	Humana	Medicare Advantage	both	negotiated	$136.10
Gaston Memorial Hospital	NC	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$136.02
Gaston Memorial Hospital	NC	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$136.02
Atrium Health Cabarrus	NC	Cigna	Medicare Advantage	both	negotiated	$133.43
Atrium Health Cleveland	NC	Cigna	Medicare Advantage	both	negotiated	$133.43
Atrium Health Kings Mountain	NC	Cigna	Medicare Advantage	both	negotiated	$133.43
Gaston Memorial Hospital	NC	alliance behavioral health	Medicaid	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	amerihealth caritas	Medicaid Managed Care	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	carolina complete health tailored plans	Medicaid Managed Care	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	WellCare	Medicaid Managed Care	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	vaya behavioral health	Medicaid	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	UnitedHealthcare	Medicaid Managed Care	outpatient	negotiated	$130.33
Gaston Memorial Hospital	NC	Blue Cross Blue Shield	Medicaid Managed Care	outpatient	negotiated	$127.77
Gaston Memorial Hospital	NC	carolina complete health	Medicaid Managed Care	outpatient	negotiated	$127.77
Gaston Memorial Hospital	NC	partners behavioral health	Medicaid	outpatient	negotiated	$127.77
Atrium Health Cabarrus	NC	alliance	Managed Medicaid	both	negotiated	$111.39
Atrium Health Cleveland	NC	alliance	Managed Medicaid	both	negotiated	$111.39
Atrium Health Kings Mountain	NC	alliance	Managed Medicaid	both	negotiated	$111.39
Atrium Health Anson	NC	alliance	Managed Medicaid	both	negotiated	$111.39
Atrium Health Cabarrus	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	carolina complete health	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	healthy blue	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	vaya	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	WellCare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	healthy blue	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	partners	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	vaya	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	WellCare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cleveland	NC	carolina complete health	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	healthy blue	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	partners	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	UnitedHealthcare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	vaya	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	WellCare	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$110.30
Atrium Health Kings Mountain	NC	carolina complete health	Managed Medicaid	both	negotiated	$110.30
Atrium Health Anson	NC	amerihealth caritas	Managed Medicaid	both	negotiated	$110.30
Atrium Health Anson	NC	carolina complete health	Managed Medicaid	both	negotiated	$110.30
Atrium Health Cabarrus	NC	partners	Managed Medicaid	both	negotiated	$109.21
Atrium Health Cabarrus	NC	trillium	Managed Medicaid	both	negotiated	$109.21
Atrium Health Cleveland	NC	trillium	Managed Medicaid	both	negotiated	$109.21
Atrium Health Kings Mountain	NC	trillium	Managed Medicaid	both	negotiated	$109.21
Gaston Memorial Hospital	NC	[De-identified Max]	—	inpatient	max	$806.55
Gaston Memorial Hospital	NC	[De-identified Max]	—	outpatient	max	$806.55
Harris Regional Hospital	NC	[De-identified Max]	—	outpatient	max	$528.42
Atrium Health Cabarrus	NC	[De-identified Max]	—	both	max	$395.83
Atrium Health Cleveland	NC	[De-identified Max]	—	both	max	$395.83
Atrium Health Kings Mountain	NC	[De-identified Max]	—	both	max	$395.83
Atrium Health Anson	NC	[De-identified Max]	—	both	max	$395.83
Atrium Health Cabarrus	NC	[De-identified Max]	—	outpatient	max	$209.47
Atrium Health Cleveland	NC	[De-identified Max]	—	outpatient	max	$176.47
Atrium Health Kings Mountain	NC	[De-identified Max]	—	outpatient	max	$176.47
Atrium Health Anson	NC	[De-identified Max]	—	outpatient	max	$176.47
Columbus Regional Healthcare System	NC	[De-identified Max]	—	outpatient	max	$175.95

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).