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
$0
Average
$223
Median
$53
High
$25k
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171 hospital rates
iThe hospitals that file a Molina 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $90 | $90 | $31 | 34% | — | $59 – $121 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $53 | $53 | $8 | 15% | — | $45 – $61 |
| 6 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Bronson Methodist Hospital Kalamazoo, MI professional · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 10 | Bronson South Haven Hospital South Haven, MI professional · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $71 | $71 | $30 | 43% | — | $41 – $102 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $71 | $71 | $30 | 43% | — | $41 – $102 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $71 | $71 | $30 | 43% | — | $41 – $102 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 16 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 17 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 18 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 19 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 21 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $33 | $33 | — | — | — | $33 – $33 |
| 22 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $57 | $57 | $23 | 41% | — | $33 – $80 |
| 23 | Centennial Hills Las Vegas, NV case rate · both | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 24 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 25 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
← Payers reporting CPT 99425 · Snapshot 20261113T090226Z-3ce6c0b8