Office visit, established patient, 5 min in Kentucky
What Kentucky hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
507
Neg. median
$117.13
Min
$7.48
Max
$640.77
Cash median
$271.8
Across 14 Kentucky hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $7.48 to $640.77, with a median of $117.13. The interquartile range is $34.2 to $238.28. Cash-pay patients typically pay $271.8; gross charges median $453.
By payer in Kentucky
Top 21 payers for Office visit, established patient, 5 min in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Anthem BCBS | 13 | 71 | $146.14 |
| Aetna | 13 | 62 | $132.15 |
| Humana | 13 | 35 | $80.92 |
| WellCare | 12 | 32 | $87.79 |
| Molina | 12 | 20 | $96.58 |
| UnitedHealthcare | 12 | 32 | $174.89 |
| umr | 11 | 21 | $289.34 |
| caresoure kentucky | 11 | 22 | $290.6 |
| optum ccn region 1 | 6 | 8 | $110.76 |
| optum ccn region 2 | 6 | 8 | $110.76 |
| commonwealth health alliance | 1 | 1 | $37.8 |
| First Health | 1 | 1 | $35.7 |
| amerigroup | 1 | 2 | $14.35 |
| va community care network | 1 | 2 | $14.35 |
| Multiplan | 1 | 2 | $35.35 |
| alliance coal | 1 | 2 | $20.3 |
| beacon health | 1 | 1 | $7.48 |
| CareSource | 1 | 2 | $17.95 |
| center care | 1 | 1 | $31.65 |
| christian county health dept-cchd | 1 | 1 | $7.48 |
| Cigna | 1 | 3 | $20.59 |
Hospital comparison — Office visit, established patient, 5 min in Kentucky
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Jennie Stuart Medical Center | Hopkinsville | $20.59 | $13.02 | $42 |
| Highlands Regional Medical Center | Prestonsburg | $33.97 | $57 | $95 |
| Tug Valley Arh | South Williamson | $38.64 | $142.8 | $238 |
| Paintsville Arh Hospital | Paintsville | $57.26 | $153 | $255 |
| Mcdowell Arh | Mcdowell | $83.65 | $223.8 | $373 |
| Whitesburg Arh | Whitesburg | $84.12 | $224.7 | $374.5 |
| Mary Breckinridge Hospital | Hyden | $104.9 | $413.4 | $689 |
| Barbourville Arh Hospital | Barbourville | $118.3 | $349.5 | $582.5 |
| Our Lady Of The Way | Martin | $137.8 | $413.4 | $689 |
| Morgan Co. Arh | West Liberty | $146.86 | $413.4 | $689 |
| Middlesboro Arh | Middlesboro | $154 | $137.4 | $229 |
| Hazard Arh | Hazard | $154.61 | $234.6 | $391 |
| Harlan Arh | Harlan | $337.94 | $342.6 | $571 |
| Spring View Hospital | Lebanon | — | $167.95 | $419.87 |