Initial moderate-complexity hospital inpatient care visit

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

PR Hospital IP/Obs Care Initial Moderate Level per Day

Payers reporting CPT 99222

Payer pricing summary

Low

$100

Average

$240

Median

$198

High

$1.7k

Payer rate distribution

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#
1	Medicare professional · fee schedule · outpatient · +19 other terms	45	$114	$112	$18	17%	311–329	$19 – $134
2	UnitedHealthcare fee schedule · both · +31 other terms	170	$198	$226	$120	53%	79–511	$0 – $681
3	Molina professional · fee schedule · outpatient · +23 other terms	75	$113	$115	$25	21%	42–87	$15 – $223
4	Humana fee schedule · outpatient · +26 other terms	156	$126	$443	$816	184%	38–56	$0 – $8.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	193	$379	$380	$213	56%	32–86	$0 – $964
6	Aetna fee schedule · outpatient · +30 other terms	151	$127	$324	$948	293%	20–65	$20 – $8.4k
7	Anthem fee schedule · outpatient · +21 other terms	74	$139	$295	$314	107%	16	$0 – $1.6k
8	Carefirst professional · fee schedule · inpatient · +9 other terms	37	$139	$138	$57	41%	4–40	$13 – $263
9	Optum professional · fee schedule · outpatient · +18 other terms	60	$114	$110	$27	24%	3–30	$19 – $223
10	Cigna professional · fee schedule · outpatient · +26 other terms	82	$175	$184	$84	46%	2–20	$15 – $500
11	Highmark professional · fee schedule · outpatient · +16 other terms	40	$141	$135	$50	37%	2–20	$15 – $273
12	WellCare professional · fee schedule · outpatient · +22 other terms	62	$116	$115	$18	16%	1–10	$15 – $141
13	Medica professional · fee schedule · outpatient · +17 other terms	51	$116	$120	$32	27%	1–10	$19 – $266
14	Wellmark fee schedule · both · +19 other terms	39	$214	$199	$36	18%	1–10	$117 – $220
15	Oscar professional · fee schedule · outpatient · +16 other terms	37	$120	$131	$47	36%	1–10	$18 – $203
16	Excellus professional · fee schedule · inpatient · +10 other terms	36	$130	$125	$52	41%	1–10	$13 – $263
17	Bcbs Mo professional · other · both	1	$198	$198	—	—	1–10	$198 – $198
18	Regence professional · fee schedule · outpatient · +16 other terms	62	$145	$177	$79	45%	—	$19 – $404
19	Tricare professional · fee schedule · outpatient · +20 other terms	55	$119	$115	$25	22%	—	$20 – $135
20	Ucare professional · fee schedule · outpatient · +13 other terms	48	$106	$111	$34	30%	—	$15 – $196
21	Devoted professional · fee schedule · outpatient · +13 other terms	46	$115	$118	$19	16%	—	$19 – $141
22	Caresource professional · fee schedule · outpatient · +19 other terms	44	$108	$104	$28	27%	—	$15 – $202
23	Medicaid professional · fee schedule · outpatient · +11 other terms	41	$102	$96	$17	18%	—	$15 – $123
24	Amerihealth Caritas professional · fee schedule · outpatient · +12 other terms	40	$107	$109	$21	20%	—	$15 – $141
25	First Health professional · fee schedule · outpatient · +18 other terms	40	$107	$156	$96	62%	—	$15 – $395

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