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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

$12.84 – $7,186.00

Negotiated median

$849.19

CPT 99291 Critical care, first hour · Showing 200 of 329 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
St. Marys Sacred Heart Hospital	GA	Chargemaster	N/A	outpatient	gross	$11,833
West Central Ga Regional Hospital	GA	Chargemaster	N/A	inpatient	gross	$6,923.00
West Central Ga Regional Hospital	GA	Chargemaster	N/A	outpatient	gross	$6,923.00
St. Marys Sacred Heart Hospital	GA	Chargemaster	N/A	outpatient	gross	$5,042.00
Southern Regional Medical Center	GA	Chargemaster	N/A	outpatient	gross	$4,643.60
West Central Ga Regional Hospital	GA	Chargemaster	N/A	outpatient	gross	$445.00
West Central Ga Regional Hospital	GA	Cash pay	N/A	inpatient	cash	$5,136.87
West Central Ga Regional Hospital	GA	Cash pay	N/A	outpatient	cash	$5,136.87
St. Marys Sacred Heart Hospital	GA	Cash pay	N/A	outpatient	cash	$4,733.20
St. Marys Sacred Heart Hospital	GA	Cash pay	N/A	outpatient	cash	$2,016.80
Houston Medical Center	GA	Cash pay	N/A	—	cash	$1,430.79
Perry Hospital	GA	Cash pay	N/A	—	cash	$1,430.79
Southern Regional Medical Center	GA	Cash pay	N/A	outpatient	cash	$824.00
West Central Ga Regional Hospital	GA	Cash pay	N/A	outpatient	cash	$330.19
West Central Ga Regional Hospital	GA	[De-identified Min]	—	inpatient	min	$5,884.55
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	outpatient	min	$2,367.00
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	outpatient	min	$845.80
St. Marys Sacred Heart Hospital	GA	[De-identified Min]	—	inpatient	min	$845.80
Houston Medical Center	GA	[de-identified min]	—	—	min	$623.19
Perry Hospital	GA	[de-identified min]	—	—	min	$609.70
West Central Ga Regional Hospital	GA	[De-identified Min]	—	outpatient	min	$185.32
Southern Regional Medical Center	GA	[De-identified Min]	—	outpatient	min	$172.23
St. Marys Sacred Heart Hospital	GA	UnitedHealthcare	2529_UNITED HEALTH CARE HMO PSH 20250701	outpatient	negotiated	$7,186.00
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	inpatient	negotiated	$6,715.31
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	outpatient	negotiated	$6,715.31
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	inpatient	negotiated	$6,576.85
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	outpatient	negotiated	$6,576.85
St. Marys Sacred Heart Hospital	GA	UnitedHealthcare	2530_UNITED HEALTH CARE NHP PSH 20250701	outpatient	negotiated	$6,467.00
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	inpatient	negotiated	$6,230.70
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	inpatient	negotiated	$6,230.70
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	outpatient	negotiated	$6,230.70
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	outpatient	negotiated	$6,230.70
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	inpatient	negotiated	$6,043.78
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	outpatient	negotiated	$6,043.78
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	outpatient	negotiated	$6,023.01
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	outpatient	negotiated	$6,023.01
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Commercial\|All Plans	outpatient	negotiated	$5,891.48
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	inpatient	negotiated	$5,884.55
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	outpatient	negotiated	$5,884.55
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2514_BLUE CROSS BLUE SHIELD PPO PSH 20250701	outpatient	negotiated	$3,735.00
Houston Medical Center	GA	phcs op rate	—	—	negotiated	$3,680.00
Perry Hospital	GA	phcs op rate	—	—	negotiated	$3,680.00
Houston Medical Center	GA	beech street op rate	—	—	negotiated	$3,600.00
Houston Medical Center	GA	First Health	—	—	negotiated	$3,600.00
Perry Hospital	GA	beech street op rate	—	—	negotiated	$3,600.00
Perry Hospital	GA	First Health	—	—	negotiated	$3,600.00
Perry Hospital	GA	Blue Cross Blue Shield	—	—	negotiated	$3,226.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2512_BLUE CROSS BLUE SHIELD NWB PSH 20250701	outpatient	negotiated	$3,114.00
Houston Medical Center	GA	Cigna	—	—	negotiated	$2,996.00
Perry Hospital	GA	Cigna	—	—	negotiated	$2,996.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2513_BLUE CROSS BLUE SHIELD PHS PSH 20250701	outpatient	negotiated	$2,828.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2510_BLUE CROSS BLUE SHIELD HMO PSH 20250701	outpatient	negotiated	$2,412.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2511_BLUE CROSS BLUE SHIELD SBN PSH 20250701	outpatient	negotiated	$2,412.00
Southern Regional Medical Center	GA	Humana	Humana Commercial	outpatient	negotiated	$2,410.62
St. Marys Sacred Heart Hospital	GA	Cigna	2531_CIGNA PSH 20250701	outpatient	negotiated	$2,410.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2509_BLUE CROSS BLUE SHIELD BSL PSH 20250701	outpatient	negotiated	$2,367.00
St. Marys Sacred Heart Hospital	GA	Blue Cross Blue Shield	2515_BLUE CROSS BLUE SHIELD MBN PSH 20250701	outpatient	negotiated	$2,367.00
Perry Hospital	GA	Blue Cross Blue Shield	—	—	negotiated	$2,030.80
Houston Medical Center	GA	alliant op rate	—	—	negotiated	$2,000.00
Houston Medical Center	GA	secure health op rate	—	—	negotiated	$2,000.00
Perry Hospital	GA	alliant op rate	—	—	negotiated	$2,000.00
Perry Hospital	GA	secure health op rate	—	—	negotiated	$2,000.00
Southern Regional Medical Center	GA	Cigna	Cigna Commercial	outpatient	negotiated	$1,719.18
Southern Regional Medical Center	GA	CareSource	Caresource Exchange	outpatient	negotiated	$1,442.81
Southern Regional Medical Center	GA	naphcare	Naphcare Prison	outpatient	negotiated	$1,277.91
Houston Medical Center	GA	Humana	—	—	negotiated	$1,265.00
Perry Hospital	GA	Humana	—	—	negotiated	$1,265.00
Southern Regional Medical Center	GA	centurion	Centurion	outpatient	negotiated	$1,236.69
Houston Medical Center	GA	First Health	—	—	negotiated	$1,160.00
Perry Hospital	GA	First Health	—	—	negotiated	$1,160.00
Houston Medical Center	GA	UnitedHealthcare	—	—	negotiated	$1,159.00
Southern Regional Medical Center	GA	employer direct healthcare	Employer Direct Healthcare Commercial	outpatient	negotiated	$1,154.24
Southern Regional Medical Center	GA	Oscar Health	Oscar Health Plan Commercial Exchange	outpatient	negotiated	$1,071.80
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Commercial	outpatient	negotiated	$1,030.58
Southern Regional Medical Center	GA	peach state	Peach State Ambetter Comm	outpatient	negotiated	$989.35
Houston Medical Center	GA	dodge cty op rate	—	—	negotiated	$960.00
Perry Hospital	GA	dodge cty op rate	—	—	negotiated	$960.00
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	outpatient	negotiated	$951.96
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	outpatient	negotiated	$942.98
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$942.98
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	outpatient	negotiated	$925.02
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	outpatient	negotiated	$920.53
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	outpatient	negotiated	$898.07
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$898.07
Houston Medical Center	GA	Ambetter	—	—	negotiated	$890.27
Perry Hospital	GA	Ambetter	—	—	negotiated	$890.27
Houston Medical Center	GA	CareSource	—	—	negotiated	$876.29
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Duals	outpatient	negotiated	$865.68
Southern Regional Medical Center	GA	sonder health plan	Sonder Health Plan Medicare	outpatient	negotiated	$865.68
Southern Regional Medical Center	GA	WellCare	Wellcare Medicare	outpatient	negotiated	$865.68
Houston Medical Center	GA	peach state hp op rate	—	—	negotiated	$860.53
Houston Medical Center	GA	amerigroup op rate	—	—	negotiated	$850.29
Southern Regional Medical Center	GA	CareSource	Caresource Duals	outpatient	negotiated	$849.19
Southern Regional Medical Center	GA	CareSource	Caresource Medicare	outpatient	negotiated	$849.19
Southern Regional Medical Center	GA	devoted health	Devoted Health	outpatient	negotiated	$849.19
Southern Regional Medical Center	GA	peach state	Peach State Medicare	outpatient	negotiated	$849.19
St. Marys Sacred Heart Hospital	GA	blue mcr replacement	2433_MEDICARE ADVANTAGE BLUE OUTPATIENT PSH 20250101	outpatient	negotiated	$845.80
St. Marys Sacred Heart Hospital	GA	blue mcr replacement	2597_MEDICARE ADVANTAGE BLUE INPATIENT PSH 20251001	inpatient	negotiated	$845.80
St. Marys Sacred Heart Hospital	GA	facility billing - op	1472_FACILITY BILLING OUTPATIENT PSH 20190101	outpatient	negotiated	$845.80
St. Marys Sacred Heart Hospital	GA	facility billing - op	2595_FACILITY BILLING INPATIENT PSH 20251001	inpatient	negotiated	$845.80
St. Marys Sacred Heart Hospital	GA	Medicare Advantage	2438_MEDICARE ADVANTAGE OUTPATIENT PSH 20250101	outpatient	negotiated	$845.80
Houston Medical Center	GA	WellCare	—	—	negotiated	$835.34
Southern Regional Medical Center	GA	Aetna	Aetna Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	americas choice provider network	Americas Choice Provider Network Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBSGA Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	Cigna	Cigna Healthspring Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	clear spring health plan	Clear Spring Health Plan	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	corvel	Corvel Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	georgia workers’ compensation	Worker Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	Multiplan	Multiplan Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	novanet	Novanet Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	prime health services	Prime Health Services Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	provider select	Provider Select Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	riverwood behavioral health	Riverwood Behavioral Health Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	three rivers	Three Rivers Workers Compensation	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	Medicare	Traditional Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	TRICARE	Tricare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Medicare	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	UnitedHealthcare	UHC VA CCN	outpatient	negotiated	$824.46
Southern Regional Medical Center	GA	Humana	Humana Medicare	outpatient	negotiated	$807.97
Southern Regional Medical Center	GA	Humana	Humana Tricare	outpatient	negotiated	$783.24
Perry Hospital	GA	CareSource	—	—	negotiated	$694.33
Perry Hospital	GA	peach state health plan op rate	—	—	negotiated	$682.29
Perry Hospital	GA	WellCare	—	—	negotiated	$661.88
Houston Medical Center	GA	WellCare	—	—	negotiated	$661.34
Perry Hospital	GA	WellCare	—	—	negotiated	$661.34
Houston Medical Center	GA	CareSource	—	—	negotiated	$648.63
Perry Hospital	GA	CareSource	—	—	negotiated	$648.63
Houston Medical Center	GA	UnitedHealthcare	—	—	negotiated	$635.91
Houston Medical Center	GA	Humana	—	—	negotiated	$635.91
Perry Hospital	GA	Humana	—	—	negotiated	$635.91
Houston Medical Center	GA	TRICARE	—	—	negotiated	$623.19
Perry Hospital	GA	TRICARE	—	—	negotiated	$623.19
Perry Hospital	GA	amerigroup op rate	—	—	negotiated	$609.70
West Central Ga Regional Hospital	GA	devoted health	Medicare\|All Plans	outpatient	negotiated	$471.70
West Central Ga Regional Hospital	GA	imperial insurance	Medicare\|All Plans	outpatient	negotiated	$467.25
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$467.25
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Medicare\|All Plans	outpatient	negotiated	$458.35
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicare\|All Plans	outpatient	negotiated	$456.13
West Central Ga Regional Hospital	GA	Aetna	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	arizona medical network	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	banner health	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	bridgeway health solutions	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	Cigna	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	First Health	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	health choice pathway	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	health management network	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	Health Net	Medicare\|Allwell	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	Humana	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	rural arizona network	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	united mine workers of america	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	WellCare	Medicare\|All Plans	outpatient	negotiated	$445.00
West Central Ga Regional Hospital	GA	Health Net	Commercial\|All Plans	outpatient	negotiated	$431.65
West Central Ga Regional Hospital	GA	First Health	Commercial\|All Plans	outpatient	negotiated	$422.75
West Central Ga Regional Hospital	GA	Aetna	Commercial\|All Other Plans	outpatient	negotiated	$400.50
West Central Ga Regional Hospital	GA	Aetna	Commercial\|PPO	outpatient	negotiated	$400.50
West Central Ga Regional Hospital	GA	Cigna	Commercial\|All Other Plans	outpatient	negotiated	$388.49
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|All Other Plans	outpatient	negotiated	$387.15
West Central Ga Regional Hospital	GA	UnitedHealthcare	Commercial\|Choice	outpatient	negotiated	$387.15
West Central Ga Regional Hospital	GA	Blue Cross Blue Shield	Commercial\|All Plans	outpatient	negotiated	$378.70
West Central Ga Regional Hospital	GA	Cigna	Commercial\|IFP	outpatient	negotiated	$378.25
West Central Ga Regional Hospital	GA	health choice	Medicaid\|All Plans	outpatient	negotiated	$194.59
West Central Ga Regional Hospital	GA	mercy care	Medicaid\|All Plans	outpatient	negotiated	$194.59
West Central Ga Regional Hospital	GA	acchs	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	arizona complete health	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	banner health	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	care 1st	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	Health Net	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	Humana	Medicaid\|All Plans	outpatient	negotiated	$185.32
West Central Ga Regional Hospital	GA	UnitedHealthcare	Medicaid\|All Plans	outpatient	negotiated	$185.32
Southern Regional Medical Center	GA	Aetna	Aetna HMO	outpatient	negotiated	$172.23
Southern Regional Medical Center	GA	Aetna	Aetna PPO	outpatient	negotiated	$172.23
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS HMO	outpatient	negotiated	$64.00
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS Pathway	outpatient	negotiated	$64.00
Southern Regional Medical Center	GA	Blue Cross Blue Shield	BCBS PPO	outpatient	negotiated	$58.84
Southern Regional Medical Center	GA	UnitedHealthcare	UHC Commercial	outpatient	negotiated	$37.00
Southern Regional Medical Center	GA	keenan	Keenan	outpatient	negotiated	$30.00
Southern Regional Medical Center	GA	CareSource	Caresource Medicaid	outpatient	negotiated	$13.49
Southern Regional Medical Center	GA	peach state	Peach State Medicaid	outpatient	negotiated	$12.84
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	outpatient	max	$7,186.00
West Central Ga Regional Hospital	GA	[De-identified Max]	—	inpatient	max	$6,715.31
West Central Ga Regional Hospital	GA	[De-identified Max]	—	outpatient	max	$6,715.31
Southern Regional Medical Center	GA	[De-identified Max]	—	outpatient	max	$4,643.60
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	outpatient	max	$3,735.00
Houston Medical Center	GA	[de-identified max]	—	—	max	$3,680.00
Perry Hospital	GA	[de-identified max]	—	—	max	$3,680.00
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	outpatient	max	$1,903.05
St. Marys Sacred Heart Hospital	GA	[De-identified Max]	—	inpatient	max	$1,903.05
West Central Ga Regional Hospital	GA	[De-identified Max]	—	outpatient	max	$471.70

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).