Office visit, established patient, 40-54 min in Missouri
What Missouri hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
9
Rate rows
185
Neg. median
$385.76
Min
$97.69
Max
$397.33
Cash median
$147.08
Across 9 Missouri hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $97.69 to $397.33, with a median of $385.76. The interquartile range is $385.76 to $397.33. Cash-pay patients typically pay $147.08; gross charges median $385.76.
By payer in Missouri
Top 30 payers for Office visit, established patient, 40-54 min in Missouri.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 3 | 6 | $391.55 |
| Cigna | 2 | 5 | $397.33 |
| healthlink hmo | 2 | 2 | $391.55 |
| WellCare | 2 | 2 | $391.55 |
| healthlink ppo | 2 | 2 | $391.55 |
| Ambetter | 2 | 2 | $391.55 |
| medica | 2 | 2 | $391.55 |
| Humana | 2 | 3 | $385.76 |
| UnitedHealthcare | 2 | 8 | $391.55 |
| essence | 2 | 2 | $391.55 |
| Medicaid | 2 | 3 | $385.76 |
| Blue Cross Blue Shield | 2 | 2 | $241.73 |
| Anthem BCBS | 2 | 9 | $397.33 |
| carthage r-9 school district (tri-state healthcare coalition) | 1 | 1 | $385.76 |
| cardinal scale (tri state healthcare coalition) | 1 | 1 | $385.76 |
| ava r1 school district (smbc) | 1 | 1 | $385.76 |
| buchheit | 1 | 1 | $385.76 |
| bolivar school (smbc) | 1 | 1 | $385.76 |
| architectural systems, inc. (asi) | 1 | 1 | $385.76 |
| allyalign health (nhc advantage) | 1 | 1 | $385.76 |
| easter seals midwest | 1 | 1 | $385.76 |
| dora school district (smbc) | 1 | 1 | $385.76 |
| Empire BCBS | 1 | 1 | $385.76 |
| employers benefit alliance | 1 | 1 | $385.76 |
| diversified plastics | 1 | 1 | $385.76 |
| evolutions | 1 | 1 | $385.76 |
| fabick cat | 1 | 1 | $385.76 |
| fair grove school district (smbc) | 1 | 1 | $385.76 |
| First Health | 1 | 1 | $281.6 |
| devoted healthcare | 1 | 1 | $385.76 |
Hospital comparison — Office visit, established patient, 40-54 min in Missouri
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Ranken Jordan | Maryland Heights | $97.69 | $427 | $427 |
| Mercy Rehabilitation Hospital-Spgf | Springfield | $385.76 | $385.76 | $385.76 |
| Mercy Hospital - St. Louis | St. Louis | $397.33 | $397.33 | $397.33 |
| Missouri Delta Medical Center | Sikeston | — | $119.44 | $477.75 |
| Harrison County Community Hospital | Bethany | — | $154.5 | $309 |
| Barton County Memorial Hospital | Lamar | — | $103.11 | $323.22 |
| Cox-Monett Hospital | Monett | — | $146.59 | $480.61 |
| Cox Medical Center Branson | Branson | — | $120.5 | $530.82 |
| Coxhealth | Springfield | — | $127.31 | $505.18 |