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CPT 99211

OP VISIT LEVEL 1 EST

Reported by 57 hospitals in the network under the per diem 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 negotiated per diem rate paid per day of care.

National pricing summary

Low

$8

Average

$728

Median

$335

High

$6.3k

Hospitals reporting this code

#HospitalLocation
1Hca Healthone Mountain RidgeThornton, CO$51$350$350$510—
2Hca Healthone Northeast ErTHORNTON, CO$51$350$350$510—
3Dukes Health System LLCPeru, IN$5$10$8$50$2
4Dignity HealthSacramento, CA$9$3.2k$3.2k$287—
5Dignity HealthCarmichael, CA$9$3.2k$3.2k$287—
6Mercy Health Hackley CampusMuskogen, MI$5$135$135$690—
7Mercy Health Services-Iowa Corp.Mason City, IA$7$287$279$303$37
8St Peters HospitalAlbany, NY$6$304$304$618$151
9UPMC Magee-Womens HospitalPittsburgh, PA$19$64$55$181$13
10UPMC St MargaretPittsburgh, PA$22$64$55$173$13
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