CPT 99425
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
PR PRIN CARE MGMT MD/APP EA ADDL
Low
$48
Average
$85
Median
$89
High
$118
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37 hospital rates
iThe hospitals that file a Caresource 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 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $89 | $89 | $29 | 32% | — | $60 – $118 |
| 3 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 4 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $54 | $54 | $7 | 13% | — | $47 – $61 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $54 | $54 | $7 | 13% | — | $47 – $61 |
| 11 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 12 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $70 | $70 | $14 | 20% | — | $56 – $84 |
| 13 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 2 | $64 | $68 | $20 | 29% | — | $49 – $94 |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 15 | Jennie Stuart Medical Center Hopkinsville, KY facility · case rate · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY professional · fee schedule · both | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 2 | $63 | $63 | $7 | 11% | — | $56 – $70 |
| 18 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 19 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 22 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 23 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 24 | Pike Health Services Inc Waverly, OH facility · case rate · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 25 | Renown Regional Medical Center Reno, NV facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Payers reporting CPT 99425 · Snapshot 20261113T090226Z-3ce6c0b8