Critical care, first hour of physician time

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

Critical Care 1st 30-74 Minutes

Payers reporting CPT 99291

70 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Aetna fee schedule · outpatient · +39 other terms	585	$889.17	$2,876	$1.00 – $55,063
2	UnitedHealthcare case rate · outpatient · +41 other terms	566	$3,631	$4,253	$410.00 – $25,609
3	Blue Cross Blue Shield fee schedule · outpatient · +40 other terms	418	$1,052	$2,567	$1.00 – $65,051
4	Humana fee schedule · outpatient · +37 other terms	408	$845.11	$990.30	$1.10 – $8,334
5	Cigna fee schedule · outpatient · +37 other terms	291	$1,148	$3,311	$133.05 – $68,474
6	Molina fee schedule · outpatient · +33 other terms	212	$833.73	$912.71	$1.05 – $7,638
7	WellCare fee schedule · outpatient · +28 other terms	210	$841.35	$837.30	$163.48 – $1,975
8	Anthem fee schedule · outpatient · +34 other terms	148	$821.02	$938.17	$18.64 – $50,873
9	MultiPlan fee schedule · outpatient · +24 other terms	146	$4,420	$11,806	$144.94 – $83,881
10	Oscar case rate · outpatient · +24 other terms	143	$3,313	$3,070	$1,318 – $6,929
11	Devoted facility · fee schedule · outpatient · +22 other terms	113	$801.68	$785.63	$95.15 – $4,962
12	Kaiser fee schedule · outpatient · +29 other terms	111	$1,377	$3,008	$121.60 – $47,282
13	Ambetter facility · fee schedule · outpatient · +25 other terms	94	$1,407	$1,203	$213.96 – $7,193
14	Tricare facility · fee schedule · outpatient · +22 other terms	92	$823.42	$1,008	$87.75 – $6,204
15	Highmark facility · fee schedule · outpatient · +25 other terms	64	$787.73	$867.94	$155.32 – $3,815
16	Medicaid facility · fee schedule · outpatient · +19 other terms	60	$750.36	$702.79	$115.26 – $1,730
17	Optum professional · fee schedule · outpatient · +29 other terms	59	$203.71	$222.16	$104.05 – $317.42
18	Regence professional · fee schedule · outpatient · +25 other terms	59	$291.53	$340.87	$183.23 – $853.24
19	Caresource fee schedule · outpatient · +27 other terms	57	$804.44	$546.52	$1.08 – $2,185
20	Medica fee schedule · both · +27 other terms	56	$444.51	$604.10	$156.44 – $925.66
21	Healthcare Highways case rate · outpatient · +5 other terms	55	$2,436	$3,083	$1,908 – $4,258
22	Medicare facility · fee schedule · outpatient · +23 other terms	54	$851.30	$1,059	$189.36 – $22,000
23	First Health fee schedule · outpatient · +24 other terms	53	$3,903	$6,401	$237.24 – $53,866
24	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	51	$236.71	$453.37	$88.21 – $1,855
25	Ucare professional · fee schedule · outpatient · +22 other terms	47	$215.95	$215.36	$84.68 – $347.65

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