Outpatient new patient office visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC VISIT NEW PATIENT LEVEL 3

Payers reporting CPT 99203

Payer pricing summary

Low

$71

Average

$583

Median

$174

High

$7.4k

Payer rate distribution

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#
1	Premera professional · fee schedule · outpatient · +12 other terms	22	$117	$129	$34	27%	1,812–1,929	$88 – $225
2	Ucare professional · fee schedule · outpatient · +20 other terms	37	$91	$91	$25	27%	1,198–1,243	$47 – $172
3	Cigna fee schedule · outpatient · +32 other terms	179	$131	$159	$131	82%	1,062–1,125	$0 – $849
4	Oscar professional · fee schedule · outpatient · +20 other terms	24	$93	$102	$31	30%	328–346	$56 – $171
5	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	296	$174	$210	$126	60%	306–513	$0 – $1.4k
6	Regence professional · fee schedule · outpatient · +16 other terms	48	$97	$157	$80	51%	241–358	$56 – $349
7	UnitedHealthcare fee schedule · outpatient · +42 other terms	305	$109	$245	$1.3k	525%	195–267	$1 – $24.3k
8	Aetna fee schedule · outpatient · +37 other terms	256	$110	$214	$529	247%	185–230	$1 – $8.4k
9	Humana fee schedule · outpatient · +32 other terms	232	$111	$195	$502	258%	165–201	$1 – $8.3k
10	Ambetter fee schedule · both · +22 other terms	51	$149	$152	$48	31%	115–124	$35 – $366
11	Molina fee schedule · outpatient · +28 other terms	86	$91	$98	$45	46%	109–127	$1 – $348
12	First Health fee schedule · outpatient · +21 other terms	34	$359	$342	$237	69%	91	$85 – $1.3k
13	Anthem fee schedule · outpatient · +30 other terms	117	$124	$200	$191	96%	47	$22 – $1.5k
14	Optum professional · fee schedule · outpatient · +23 other terms	46	$91	$83	$27	32%	43–88	$40 – $121
15	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$186	$186	—	—	22	$186 – $186
16	Tricare fee schedule · both · +21 other terms	45	$79	$100	$44	44%	4–40	$35 – $328
17	Bcbs Ar fee schedule · both	1	$71	$71	—	—	2–20	$71 – $71
18	WellCare fee schedule · both · +24 other terms	60	$76	$86	$18	21%	1–10	$61 – $118
19	Aetna Better Health fee schedule · outpatient · +21 other terms	47	$60	$84	$70	83%	1–10	$38 – $467
20	Wellmark fee schedule · both · +24 other terms	36	$116	$114	$19	17%	1–10	$74 – $188
21	Bcbs Mo professional · other · both	1	$143	$143	—	—	1–10	$143 – $143
22	MultiPlan fee schedule · outpatient · +18 other terms	92	$344	$312	$266	85%	—	$22 – $1.3k
23	Kaiser fee schedule · outpatient · +24 other terms	62	$111	$159	$138	87%	—	$1 – $960
24	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	49	$249	$358	$383	107%	—	$28 – $1.4k
25	Highmark facility · fee schedule · outpatient · +19 other terms	49	$65	$192	$289	150%	—	$25 – $3.0k

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