Office visit, new patient, 45-59 min in Kentucky
What Kentucky hospitals charge for office visit, new patient, 45-59 min (CPT 99204). Rates sourced from federally-mandated machine-readable files.
Hospitals
10
Rate rows
424
Neg. median
$114.34
Min
$25.99
Max
$1,077.87
Cash median
$204.6
Across 10 Kentucky hospitals, the negotiated rate for Office visit, new patient, 45-59 min ranges from $25.99 to $1,077.87, with a median of $114.34. The interquartile range is $102.79 to $209. Cash-pay patients typically pay $204.6; gross charges median $341.
By payer in Kentucky
Top 22 payers for Office visit, new patient, 45-59 min in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 9 | 57 | $128.08 |
| UnitedHealthcare | 9 | 32 | $114.34 |
| WellCare | 9 | 39 | $114.34 |
| Anthem BCBS | 8 | 40 | $167.88 |
| Humana | 8 | 22 | $83.64 |
| umr | 8 | 14 | $244.72 |
| optum ccn region 1 | 7 | 13 | $114.34 |
| optum ccn region 2 | 7 | 13 | $114.34 |
| Molina | 7 | 11 | $85.31 |
| caresoure kentucky | 7 | 21 | $188.66 |
| commonwealth health alliance | 1 | 1 | $279 |
| First Health | 1 | 1 | $263.5 |
| alliance coal | 1 | 2 | $189.7 |
| Multiplan | 1 | 2 | $262.55 |
| the health plan | 1 | 4 | $107.48 |
| amerigroup | 1 | 2 | $138.85 |
| va community care network | 1 | 2 | $138.85 |
| beacon health | 1 | 1 | $102.79 |
| CareSource | 1 | 2 | $165.78 |
| center care | 1 | 1 | $233.62 |
| christian county health dept-cchd | 1 | 1 | $102.79 |
| Cigna | 1 | 3 | $153.88 |
Hospital comparison — Office visit, new patient, 45-59 min in Kentucky
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mcdowell Arh | Mcdowell | $83.64 | $186 | $310 |
| Highlands Regional Medical Center | Prestonsburg | $114.34 | $186 | $310 |
| Whitesburg Arh | Whitesburg | $114.34 | $186 | $310 |
| Tug Valley Arh | South Williamson | $114.34 | $204.6 | $341 |
| Paintsville Arh Hospital | Paintsville | $114.34 | $249.9 | $416.5 |
| Hazard Arh | Hazard | $121.21 | $204.6 | $341 |
| Jennie Stuart Medical Center | Hopkinsville | $153.88 | $96.1 | $310 |
| Middlesboro Arh | Middlesboro | $200.73 | $440.7 | $734.5 |
| Harlan Arh | Harlan | $742.99 | $662.4 | $1,104 |
| Spring View Hospital | Lebanon | — | $295.74 | $739.34 |