Hospital follow-up visit, high complexity, per day

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 High Level per Day

Payers reporting CPT 99233

Payer pricing summary

Low

$85

Average

$212

Median

$169

High

$1.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · both · +31 other terms	165	$156	$170	$87	51%	1,675–1,684	$0 – $509
2	Medicare professional · fee schedule · outpatient · +19 other terms	43	$104	$105	$4	4%	955–973	$99 – $114
3	Medica professional · fee schedule · outpatient · +17 other terms	51	$107	$111	$23	20%	98–107	$82 – $211
4	Molina professional · fee schedule · outpatient · +22 other terms	74	$106	$104	$22	21%	93–111	$38 – $205
5	Humana fee schedule · outpatient · +26 other terms	155	$115	$382	$784	205%	42–60	$0 – $8.3k
6	Aetna fee schedule · outpatient · +29 other terms	152	$114	$295	$935	316%	34–70	$20 – $8.4k
7	WellCare professional · fee schedule · outpatient · +22 other terms	60	$106	$103	$15	15%	26	$38 – $119
8	Kaiser fee schedule · outpatient · +20 other terms	37	$115	$130	$75	58%	24–42	$46 – $523
9	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	194	$288	$298	$164	55%	17–71	$0 – $738
10	Anthem fee schedule · outpatient · +22 other terms	75	$111	$257	$291	113%	14	$0 – $1.4k
11	Optum professional · fee schedule · outpatient · +18 other terms	58	$105	$101	$22	22%	14	$49 – $187
12	Regence professional · fee schedule · outpatient · +14 other terms	60	$126	$162	$69	43%	1–10	$99 – $369
13	Highmark professional · fee schedule · outpatient · +14 other terms	38	$118	$120	$38	32%	1–10	$38 – $240
14	Oscar professional · fee schedule · outpatient · +15 other terms	36	$112	$127	$34	27%	1–10	$99 – $187
15	Wellmark fee schedule · both · +17 other terms	35	$194	$181	$32	18%	1–10	$107 – $202
16	Premera professional · fee schedule · outpatient · +11 other terms	34	$154	$164	$36	22%	1–10	$122 – $261
17	Bcbs Mo professional · other · both	1	$151	$151	—	—	1–10	$151 – $151
18	Cigna fee schedule · outpatient · +25 other terms	79	$119	$164	$268	164%	—	$0 – $3.1k
19	Tricare professional · fee schedule · outpatient · +19 other terms	54	$110	$110	$6	5%	—	$94 – $122
20	Ucare professional · fee schedule · outpatient · +13 other terms	47	$98	$102	$29	29%	—	$38 – $181
21	Devoted professional · fee schedule · outpatient · +12 other terms	45	$108	$110	$9	8%	—	$99 – $128
22	Caresource professional · fee schedule · outpatient · +19 other terms	42	$86	$92	$26	29%	—	$38 – $183
23	Medicaid professional · fee schedule · outpatient · +11 other terms	40	$75	$81	$15	18%	—	$38 – $112
24	Amerihealth Caritas professional · fee schedule · outpatient · +9 other terms	39	$75	$93	$20	21%	—	$38 – $120
25	First Health professional · fee schedule · outpatient · +19 other terms	39	$93	$125	$70	56%	—	$38 – $301

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