CPT 99367
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.
Original text from hospital filings
TEAM CNF W-O PAT BY PHYS
Low
$48
Average
$135
Median
$163
High
$223
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 3.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
22 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN per diem · both | 1 | $159 | $159 | — | — | — | $159 – $159 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $159 | $167 | $14 | 8% | — | $159 – $191 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $159 | $167 | $14 | 8% | — | $159 – $191 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $159 | $166 | $13 | 8% | — | $159 – $191 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 13 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 14 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 17 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 18 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 19 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 21 | ST HELENA HOSPITAL Vallejo, CA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 22 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
← Payers reporting CPT 99367 · Snapshot 20261113T090226Z-3ce6c0b8