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CPT 99211

HB Office/Outpatient Visit Established Level 1

Reported by 63 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$0

Average

$710

Median

$92

High

$36.9k

Hospitals reporting this code

#HospitalLocation
1Northwestern Memorial HospitalChicago, IL$44$92$92$227—
2Northwestern Medicine Kishwaukee HospitalDeKalb, IL$42$186$186$227—
3IOM Health System LPFort Wayne, IN$4$159$159$159—
4Bluffton Health System LLCBluffton, IN$7$11$11$45$3
5Dukes Health System LLCPeru, IN$5$10$13$50$4
6St. Joseph Health System, LLCWayne, IN$4$159$141$159$42
7Durant HMA LLCDurant, OK$12$12$12$1.7k—
8Jackson HMA LLCJackson, MS$7$34$87$445$140
9Mat-Su Valley Medical Center LLCPalmer, AK$18$38$35$58$5
10HMA Santa Rosa Medical Center LLCMilton, FL$14$131$36.9k$220.6k$82.2k
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