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CPT 99211

PR OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP

Reported by 787 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$5

Average

$34.4k

Median

$94

High

$26954.2k

Hospitals reporting this code

#HospitalLocation
1The Finley HospitalDubuque, IA$8$14$16$47$9
2Northwest Iowa Hospital CorporationSioux City, IA$8$12$13$21$4
3St Luke'sJones Regional Medical CenterAnamosa, IA$8$12$13$21$5
4Medical Ctiy ArgyleArgyle, TX$7$80$156$579$157
5Medical City AllianceSAGINAW, TX$26$46$46$85$18
6St Luke's Methodist HospitalCedar Rapids, IA$8$12$13$21$5
7Trinity Medical CenterRock Island, IL$8$12$15$29$7
8Trinity Medical CenterBettendorf, IA$8$12$13$21$5
9University of Iowa Health Care Medical Center DowntownIowa City, IA$8$51$43$74$24
10Unity HealthcareMuscatine, IA$8$12$14$29$6
Page 1 of 79

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