Office visit, established patient, 40-54 min in Kentucky
What Kentucky hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
10
Rate rows
411
Neg. median
$122.82
Min
$21.99
Max
$1,420.11
Cash median
$199.8
Across 10 Kentucky hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $21.99 to $1,420.11, with a median of $122.82. The interquartile range is $87.17 to $247.75. Cash-pay patients typically pay $199.8; gross charges median $333.
By payer in Kentucky
Top 22 payers for Office visit, established patient, 40-54 min in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 9 | 55 | $122.82 |
| UnitedHealthcare | 9 | 31 | $122.82 |
| WellCare | 9 | 38 | $98.49 |
| Anthem BCBS | 8 | 40 | $220.14 |
| Humana | 8 | 22 | $82.79 |
| umr | 8 | 14 | $251.96 |
| optum ccn region 1 | 7 | 12 | $122.82 |
| optum ccn region 2 | 7 | 12 | $122.82 |
| Molina | 7 | 11 | $84.45 |
| caresoure kentucky | 7 | 20 | $202.65 |
| commonwealth health alliance | 1 | 1 | $301.5 |
| First Health | 1 | 1 | $284.75 |
| alliance coal | 1 | 2 | $203.92 |
| Multiplan | 1 | 2 | $282.99 |
| the health plan | 1 | 4 | $115.2 |
| amerigroup | 1 | 2 | $149.25 |
| va community care network | 1 | 2 | $149.25 |
| beacon health | 1 | 1 | $87.17 |
| CareSource | 1 | 2 | $178.2 |
| center care | 1 | 1 | $252.46 |
| christian county health dept-cchd | 1 | 1 | $87.17 |
| Cigna | 1 | 3 | $165.42 |
Hospital comparison — Office visit, established patient, 40-54 min in Kentucky
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Mcdowell Arh | Mcdowell | $82.79 | $199.8 | $333 |
| Highlands Regional Medical Center | Prestonsburg | $98.39 | $123.3 | $205.5 |
| Whitesburg Arh | Whitesburg | $122.82 | $154.2 | $257 |
| Hazard Arh | Hazard | $122.82 | $199.8 | $333 |
| Tug Valley Arh | South Williamson | $122.82 | $199.8 | $333 |
| Paintsville Arh Hospital | Paintsville | $122.82 | $246 | $410 |
| Jennie Stuart Medical Center | Hopkinsville | $165.42 | $103.85 | $335 |
| Middlesboro Arh | Middlesboro | $241.51 | $558 | $930 |
| Harlan Arh | Harlan | $978.54 | $872.4 | $1,454 |
| Spring View Hospital | Lebanon | — | $295.74 | $739.34 |