Outpatient new patient office visit, high complexity

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 5

Medicaid pricing summary

Low

Average

$196

Median

$132

High

$2.1k

Medicaid rate distribution

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193 hospital rates

#		Plans
1	Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges	1	$170	$170	—	—	1–10	$170 – $170
2	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both	16	$159	$166	$13	8%	1–10	$159 – $191
3	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both	2	$193	$193	$34	18%	1–10	$159 – $227
4	Lowell General Hospital Lowell, MA other · both	1	$430	$430	—	—	1–10	$430 – $430
5	Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient	1	$183	$183	—	—	1–10	$183 – $183
6	Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges	1	$180	$180	—	—	1–10	$180 – $180
7	Tufts Medical Center BOSTON, MA other · both	1	$774	$774	—	—	1–10	$774 – $774
8	ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
9	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$101	$101	$18	18%	—	$83 – $119
10	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$101	$101	$18	18%	—	$83 – $119
11	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
12	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$151	$151	—	—	—	$151 – $151
13	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$122	$122	—	—	—	$122 – $122
14	Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient	2	$204	$204	—	—	—	$204 – $204
15	Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient	1	$203	$193	$14	7%	—	$173 – $204
16	Brookings Health System Brookings, SD fee schedule · outpatient	1	$654	$493	$228	46%	—	$171 – $654
17	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
18	Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both	1	$120	$120	—	—	—	$120 – $120
19	Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient	1	$120	$120	—	—	—	$120 – $120
20	Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient	1	$120	$120	—	—	—	$120 – $120
21	CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges	1	$42	$42	—	—	—	$42 – $42
22	Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient	2	$45	$45	—	—	—	$45 – $45
23	Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient	2	$7	$7	—	—	—	$7 – $7
24	Chilton Medical Center Pompton Plains, NJ per diem · both	1	$79	$79	—	—	—	$79 – $79
25	Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges	1	$187	$187	—	—	—	$187 – $187

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← Payers reporting CPT 99205 · Snapshot 20261111T120946Z-9134e7f7

CPT 99205