Brief outpatient follow-up visit with established patient

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

Non-Emergent Care Lvl 1 Est Pt

Medicaid pricing summary

Low

Average

$61

Median

$20

High

$412

Medicaid rate distribution

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232 hospital rates

#		Plans
1	Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges	1	$87	$87	—	—	309	$87 – $87
2	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both	14	$296	$240	$75	31%	274	$159 – $355
3	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both	2	$243	$250	$79	31%	264	$159 – $355
4	Lowell General Hospital Lowell, MA other · both	1	$141	$141	—	—	198	$141 – $141
5	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both	16	$191	$220	$72	33%	137	$159 – $355
6	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both	2	$243	$250	$79	31%	77–95	$159 – $355
7	Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA percent of total billed charges · outpatientfrom % of charges	1	$77	$77	—	—	77	$77 – $77
8	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both	14	$296	$310	$25	8%	74	$296 – $355
9	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both	2	$261	$259	$73	28%	64	$159 – $355
10	Spaulding Rehabilitation Hospital Continuing Medical Care Cambridge Cambridge, MA percent of total billed charges · outpatientfrom % of charges	1	$179	$179	—	—	45	$179 – $179
11	Tufts Medical Center BOSTON, MA other · both	1	$111	$111	—	—	34	$111 – $111
12	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$141	$141	—	—	25	$141 – $141
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both	2	$325	$325	$30	9%	2–20	$296 – $355
14	Allina Health Systems Ulm, MN facility · other · outpatient	1	$30	$30	—	—	1–10	$30 – $30
15	Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges	1	$118	$118	—	—	1–10	$118 – $118
16	MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both	1	$98	$98	—	—	1–10	$98 – $98
17	Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient	1	$19	$19	—	—	1–10	$19 – $19
18	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$111	$111	—	—	1–10	$111 – $111
19	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
20	ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
21	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$15	$15	$3	18%	—	$12 – $17
22	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$15	$15	$3	18%	—	$12 – $17
23	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient	1	$15	$15	$3	18%	—	$12 – $17
24	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$56	$56	—	—	—	$56 – $56
25	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$46	$46	—	—	—	$46 – $46

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CPT 99211