Inpatient consultation, straightforward problem-focused 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

INPATIENT CONSULTATION

Payers reporting CPT 99251

Payer pricing summary

Low

$38

Average

$233

Median

$109

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	51	$347	$515	$1.2k	230%	—	$37 – $8.3k
2	UnitedHealthcare fee schedule · both · +15 other terms	34	$60	$50	$36	71%	—	$0 – $266
3	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	31	$108	$151	$84	56%	—	$0 – $279
4	Anthem fee schedule · outpatient · +14 other terms	18	$55	$55	$1	2%	—	$40 – $55
5	Aetna fee schedule · outpatient · +18 other terms	16	$47	$1.7k	$2.6k	156%	—	$35 – $8.4k
6	Caresource facility · case rate · outpatient · +3 other terms	15	$63	$68	$16	23%	—	$42 – $108
7	Molina facility · case rate · outpatient · +3 other terms	15	$62	$68	$16	23%	—	$44 – $106
8	Wellmark fee schedule · both · +3 other terms	13	$79	$79	—	—	—	$79 – $79
9	Amerihealth Caritas fee schedule · both · +2 other terms	12	$40	$40	—	—	—	$40 – $40
10	WellCare fee schedule · both · +2 other terms	12	$40	$40	$0	0%	—	$40 – $40
11	Optum facility · case rate · outpatient · +5 other terms	11	$59	$64	$14	22%	—	$53 – $96
12	Cigna fee schedule · both · +20 other terms	10	$78	$76	$55	72%	—	$50 – $266
13	Healthpartners professional · percent of total billed charges · outpatientfrom % of charges	10	$114	$120	$14	12%	—	$114 – $165
14	Devoted facility · fee schedule · outpatient · +2 other terms	8	$45	$49	$11	23%	—	$36 – $82
15	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$219	$221	$74	33%	—	$113 – $274
16	First Health fee schedule · both · +10 other terms	6	$60	$95	$77	81%	—	$60 – $266
17	Ambetter fee schedule · both · +4 other terms	5	$88	$91	$24	26%	—	$83 – $266
18	Medica fee schedule · inpatient · +2 other terms	5	$99	$99	$3	3%	—	$96 – $102
19	MultiPlan fee schedule · inpatient · +10 other terms	5	$104	$103	$1	1%	—	$101 – $104
20	Phcs fee schedule · outpatient · +7 other terms	5	$104	$85	$26	31%	—	$48 – $104
21	Regence fee schedule · outpatient	5	$54	$54	$8	14%	—	$42 – $61
22	Magellan fee schedule · both · +3 other terms	4	$0	$0	—	—	—	$0 – $0
23	Bcbs Tx facility · fee schedule · outpatient · +1 other terms	3	$172	$172	$4	2%	—	$166 – $175
24	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	3	$149	$2.7k	$8.9k	332%	—	$72 – $33.5k
25	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$152	$152	—	—	—	$152 – $152

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