Follow-up hospital visit, straightforward care

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 Subsequent Straightforward or Low Level per Day

Payers reporting CPT 99231

Payer pricing summary

Low

$30

Average

$117

Median

$70

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · both · +31 other terms	173	$61	$64	$33	52%	513–522	$0 – $414
2	Medicare professional · fee schedule · outpatient · +19 other terms	45	$43	$40	$10	25%	423–441	$7 – $50
3	Medica professional · fee schedule · outpatient · +17 other terms	51	$43	$43	$12	29%	393–411	$7 – $87
4	Optum professional · fee schedule · outpatient · +17 other terms	60	$42	$40	$14	34%	290	$7 – $103
5	Ucare professional · fee schedule · outpatient · +13 other terms	48	$40	$39	$15	37%	139	$4 – $74
6	Cigna fee schedule · both · +25 other terms	83	$79	$83	$37	44%	97–106	$36 – $239
7	Aetna fee schedule · outpatient · +29 other terms	142	$47	$240	$1.0k	420%	56–83	$20 – $8.4k
8	Molina professional · fee schedule · outpatient · +23 other terms	75	$41	$42	$11	27%	50–59	$4 – $84
9	Humana fee schedule · outpatient · +26 other terms	146	$48	$229	$794	347%	21	$0 – $8.3k
10	Carefirst professional · fee schedule · inpatient · +7 other terms	36	$46	$44	$22	50%	17–26	$4 – $99
11	Highmark professional · fee schedule · outpatient · +14 other terms	39	$47	$44	$20	44%	14	$4 – $99
12	Anthem fee schedule · outpatient · +23 other terms	74	$46	$105	$121	115%	3–30	$0 – $588
13	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	183	$111	$126	$115	92%	2–20	$0 – $1.7k
14	WellCare professional · fee schedule · outpatient · +21 other terms	61	$41	$41	$10	23%	2–20	$4 – $53
15	Wellmark fee schedule · both · +19 other terms	38	$80	$75	$13	18%	1–10	$44 – $83
16	Premera professional · fee schedule · outpatient · +11 other terms	35	$57	$60	$24	41%	1–10	$8 – $109
17	Regence professional · fee schedule · outpatient · +14 other terms	61	$50	$62	$32	52%	—	$7 – $154
18	Tricare professional · fee schedule · outpatient · +20 other terms	54	$45	$42	$12	29%	—	$7 – $51
19	Devoted professional · fee schedule · outpatient · +13 other terms	46	$43	$43	$10	24%	—	$7 – $53
20	Caresource professional · fee schedule · outpatient · +20 other terms	43	$37	$35	$14	40%	—	$4 – $76
21	Medicaid professional · fee schedule · outpatient · +11 other terms	41	$33	$32	$9	28%	—	$4 – $46
22	Amerihealth Caritas professional · fee schedule · outpatient · +9 other terms	40	$33	$37	$10	27%	—	$4 – $50
23	First Health professional · fee schedule · outpatient · +18 other terms	40	$36	$46	$27	58%	—	$4 – $113
24	MultiPlan professional · fee schedule · outpatient · +18 other terms	39	$76	$70	$25	35%	—	$9 – $110
25	Kaiser professional · fee schedule · outpatient · +20 other terms	38	$46	$45	$24	54%	—	$4 – $186

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