Search hospital rates

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

$51.66 – $147.64

Negotiated median

$72.79

CPT 99221 Initial hospital care, low complexity · Showing 126 of 126 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
HAZARD ARH	KY	Chargemaster	N/A	both	gross	$162
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Chargemaster	N/A	both	gross	$162
TUG VALLEY ARH	KY	Chargemaster	N/A	both	gross	$162
MCDOWELL ARH	KY	Chargemaster	N/A	outpatient	gross	$162
MIDDLESBORO ARH	KY	Chargemaster	N/A	both	gross	$162
WHITESBURG ARH	KY	Chargemaster	N/A	both	gross	$162
PAINTSVILLE ARH HOSPITAL	KY	Chargemaster	N/A	both	gross	$162
JENNIE STUART MEDICAL CENTER	KY	Chargemaster	N/A	both	gross	$155
MIDDLESBORO ARH	KY	Cash pay	N/A	both	cash	$97.2
HAZARD ARH	KY	Cash pay	N/A	both	cash	$97.2
PAINTSVILLE ARH HOSPITAL	KY	Cash pay	N/A	both	cash	$97.2
MCDOWELL ARH	KY	Cash pay	N/A	outpatient	cash	$97.2
WHITESBURG ARH	KY	Cash pay	N/A	both	cash	$97.2
TUG VALLEY ARH	KY	Cash pay	N/A	both	cash	$97.2
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Cash pay	N/A	both	cash	$97.2
JENNIE STUART MEDICAL CENTER	KY	Cash pay	N/A	both	cash	$48.05
MIDDLESBORO ARH	KY	[De-identified Min]	—	both	min	$72.79
JENNIE STUART MEDICAL CENTER	KY	[De-identified Min]	—	outpatient	min	$70.35
PAINTSVILLE ARH HOSPITAL	KY	[De-identified Min]	—	both	min	$51.66
TUG VALLEY ARH	KY	[De-identified Min]	—	both	min	$51.66
JENNIE STUART MEDICAL CENTER	KY	[De-identified Min]	—	both	min	$51.66
HAZARD ARH	KY	[De-identified Min]	—	both	min	$51.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	[De-identified Min]	—	both	min	$51.66
MCDOWELL ARH	KY	[De-identified Min]	—	outpatient	min	$51.66
WHITESBURG ARH	KY	[De-identified Min]	—	both	min	$51.66
JENNIE STUART MEDICAL CENTER	KY	Humana	Commercial	both	negotiated	$147.64
JENNIE STUART MEDICAL CENTER	KY	commonwealth health alliance	Commercial	both	negotiated	$139.5
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	both	negotiated	$139.5
JENNIE STUART MEDICAL CENTER	KY	Multiplan	Commercial	both	negotiated	$131.75
JENNIE STUART MEDICAL CENTER	KY	First Health	Commercial	both	negotiated	$131.75
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$126.18
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$126.17
MIDDLESBORO ARH	KY	caresoure kentucky	Commercial	both	negotiated	$120.1
TUG VALLEY ARH	KY	caresoure kentucky	Commercial	both	negotiated	$120.1
HIGHLANDS REGIONAL MEDICAL CENTER	KY	caresoure kentucky	Commercial	both	negotiated	$120.1
HAZARD ARH	KY	caresoure kentucky	Commercial	both	negotiated	$120.1
MCDOWELL ARH	KY	caresoure kentucky	Commercial	outpatient	negotiated	$120.1
JENNIE STUART MEDICAL CENTER	KY	Cigna	Commercial	both	negotiated	$116.81
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Commercial	both	negotiated	$116.81
JENNIE STUART MEDICAL CENTER	KY	center care	Commercial	both	negotiated	$116.81
JENNIE STUART MEDICAL CENTER	KY	Aetna	Commercial	both	negotiated	$116.81
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	outpatient	negotiated	$114.7
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	outpatient	negotiated	$103.23
MIDDLESBORO ARH	KY	Aetna	Medicaid	both	negotiated	$100.2
MIDDLESBORO ARH	KY	WellCare	Medicaid	both	negotiated	$100.2
TUG VALLEY ARH	KY	Aetna	Medicaid	both	negotiated	$100.2
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicaid	both	negotiated	$100.2
WHITESBURG ARH	KY	Aetna	Medicaid	both	negotiated	$100.2
HAZARD ARH	KY	Aetna	Medicaid	both	negotiated	$100.2
JENNIE STUART MEDICAL CENTER	KY	alliance coal	Commercial	both	negotiated	$91.76
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	outpatient	negotiated	$80.29
JENNIE STUART MEDICAL CENTER	KY	Aetna	Medicare Advantage	both	negotiated	$80.29
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	va community care network	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	WellCare	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	amerigroup	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Medicare Advantage HMO/PPO	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	CareSource	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	both	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Cigna	Medicare Advantage	outpatient	negotiated	$76.47
JENNIE STUART MEDICAL CENTER	KY	Humana	Medicare Advantage	both	negotiated	$76.47
HAZARD ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
HAZARD ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
HAZARD ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
MIDDLESBORO ARH	KY	Aetna	Medicare	both	negotiated	$72.79
HAZARD ARH	KY	WellCare	Medicare	both	negotiated	$72.79
TUG VALLEY ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
TUG VALLEY ARH	KY	WellCare	Medicare	both	negotiated	$72.79
TUG VALLEY ARH	KY	Aetna	Medicare	both	negotiated	$72.79
PAINTSVILLE ARH HOSPITAL	KY	Aetna	Medicare	both	negotiated	$72.79
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicare	both	negotiated	$72.79
HIGHLANDS REGIONAL MEDICAL CENTER	KY	WellCare	Medicare	both	negotiated	$72.79
HIGHLANDS REGIONAL MEDICAL CENTER	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
HIGHLANDS REGIONAL MEDICAL CENTER	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicare	both	negotiated	$72.79
MCDOWELL ARH	KY	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$72.79
WHITESBURG ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
HAZARD ARH	KY	Aetna	Medicare	both	negotiated	$72.79
MIDDLESBORO ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
WHITESBURG ARH	KY	Aetna	Medicare	both	negotiated	$72.79
MCDOWELL ARH	KY	Aetna	Medicare	outpatient	negotiated	$72.79
WHITESBURG ARH	KY	WellCare	Medicare	both	negotiated	$72.79
WHITESBURG ARH	KY	caresoure kentucky	Commercial	both	negotiated	$72.79
WHITESBURG ARH	KY	optum ccn region 1	Veterans Affairs Plan	both	negotiated	$72.79
MCDOWELL ARH	KY	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$72.79
PAINTSVILLE ARH HOSPITAL	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
PAINTSVILLE ARH HOSPITAL	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
WHITESBURG ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
MIDDLESBORO ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
MIDDLESBORO ARH	KY	WellCare	Medicare	both	negotiated	$72.79
TUG VALLEY ARH	KY	UnitedHealthcare	Medicare	both	negotiated	$72.79
TUG VALLEY ARH	KY	the health plan	Medicare	both	negotiated	$72.79
TUG VALLEY ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
MIDDLESBORO ARH	KY	optum ccn region 2	Veterans Affairs Plan	both	negotiated	$72.79
JENNIE STUART MEDICAL CENTER	KY	Humana	Government	outpatient	negotiated	$70.35
TUG VALLEY ARH	KY	the health plan	Medicaid	both	negotiated	$62.54
MCDOWELL ARH	KY	WellCare	Medicaid	outpatient	negotiated	$51.66
WHITESBURG ARH	KY	WellCare	Medicaid	both	negotiated	$51.66
HIGHLANDS REGIONAL MEDICAL CENTER	KY	Aetna	Medicaid	both	negotiated	$51.66
HAZARD ARH	KY	WellCare	Medicaid	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	Aetna	Managed Medicaid	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	HPN/HMO	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	Anthem BCBS	Traditional/PPO/HMO/HIC	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	beacon health	Managed Medicaid	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	christian county health dept-cchd	Commercial	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	UnitedHealthcare	Managed Medicaid	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	WellCare	Managed Medicaid	both	negotiated	$51.66
TUG VALLEY ARH	KY	WellCare	Medicaid	both	negotiated	$51.66
PAINTSVILLE ARH HOSPITAL	KY	WellCare	Medicaid	both	negotiated	$51.66
JENNIE STUART MEDICAL CENTER	KY	[De-identified Max]	—	both	max	$147.64
JENNIE STUART MEDICAL CENTER	KY	[De-identified Max]	—	outpatient	max	$126.17
HAZARD ARH	KY	[De-identified Max]	—	both	max	$120.1
TUG VALLEY ARH	KY	[De-identified Max]	—	both	max	$120.1
MIDDLESBORO ARH	KY	[De-identified Max]	—	both	max	$120.1
HIGHLANDS REGIONAL MEDICAL CENTER	KY	[De-identified Max]	—	both	max	$120.1
MCDOWELL ARH	KY	[De-identified Max]	—	outpatient	max	$120.1
PAINTSVILLE ARH HOSPITAL	KY	[De-identified Max]	—	both	max	$100.2
WHITESBURG ARH	KY	[De-identified Max]	—	both	max	$100.2

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).