CPT 99425

Care management for one serious long-term condition

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 PRIN CARE MGMT MD/APP EA ADDL

Cigna pricing summary

Low

$43

Average

$90

Median

$86

High

$284

Cigna rate distribution

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196 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient	2	$78	$78	$7	8%	—	$72 – $85
2	ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges	2	$133	$133	—	—	—	$133 – $133
3	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	1	$81	$81	—	—	—	$81 – $81
4	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
5	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	1	$102	$102	—	—	—	$102 – $102
6	Alomere Health Alexandria, MN facility · fee schedule · outpatient	1	$206	$206	—	—	—	$206 – $206
7	BASSETT HOSPITAL OF SCHOHARIE COUNTY Cobleskill, NY facility · percent of total billed charges · outpatientfrom % of charges	1	$89	$89	—	—	—	$89 – $89
8	Benefis Hospitals Inc Helena, MT fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
9	Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges	1	$100	$100	—	—	—	$100 – $100
10	Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges	3	$59	$60	$1	2%	—	$59 – $61
11	Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient	3	$59	$60	$1	2%	—	$59 – $61
12	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$88	$88	$6	7%	—	$82 – $94
13	Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · inpatientfrom % of charges	1	$109	$109	—	—	—	$109 – $109
14	Blue Hill Memorial Hospital Hill, ME professional · percent of total billed charges · outpatientfrom % of charges	1	$109	$109	—	—	—	$109 – $109
15	Boulder Community Health Lafayette, CO facility · fee schedule · outpatient	1	$74	$74	—	—	—	$74 – $74
16	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$77	$77	—	—	—	$77 – $77
17	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$55	$55	$4	8%	—	$51 – $59
18	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	1	$81	$81	—	—	—	$81 – $81
19	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
20	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
21	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
22	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
23	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
24	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
25	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49