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
$51
Average
$116
Median
$95
High
$230
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39 hospital rates
iThe hospitals that file a Medica 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $43 | $51 | $24 | 47% | — | $30 – $89 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $43 | $51 | $24 | 47% | — | $30 – $89 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $100 | $95 | $45 | 47% | — | $42 – $140 |
| 4 | Chadron Community Hospital Chadron, NE fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Children's Mercy Hospital Kansas City, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Children's Mercy Hospital Kansas City, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Children's Mercy Hospital Kansas Overland Park, KS professional · percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Children's Mercy Hospital Kansas Overland Park, KS professional · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 10 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 11 | Fairview Health Services Edina, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 12 | Fairview Health Services Edina, MN fee schedule · outpatient | 7 | $205 | $184 | $47 | 26% | — | $107 – $228 |
| 13 | Fairview Health Services Minneapolis, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 14 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 7 | $199 | $179 | $44 | 25% | — | $107 – $221 |
| 15 | Fairview Health Services Burnsville, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 16 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 7 | $205 | $184 | $47 | 26% | — | $107 – $228 |
| 17 | Fairview Health Services Wyoming, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 18 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 7 | $187 | $171 | $38 | 23% | — | $107 – $208 |
| 19 | Fairview Health Services Princeton, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 20 | Fairview Health Services Princeton, MN fee schedule · outpatient | 7 | $196 | $174 | $40 | 23% | — | $107 – $208 |
| 21 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 8 | $115 | $123 | $73 | 59% | — | $51 – $206 |
| 22 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 23 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 2 | $106 | $106 | $58 | 55% | — | $47 – $164 |
| 24 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 7 | $194 | $154 | $65 | 42% | — | $51 – $206 |
| 25 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 7 | $205 | $184 | $47 | 26% | — | $107 – $228 |
← Payers reporting CPT 99425 · Snapshot 20261113T090226Z-3ce6c0b8