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

Optum pricing summary

Low

$34

Average

$71

Median

$50

High

$202

Optum rate distribution

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29 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient	1	$44	$44	—	—	—	$44 – $44
2	AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges	1	$233	$233	—	—	—	$233 – $233
3	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$53	$53	$5	9%	—	$48 – $57
4	Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient	2	$61	$61	$1	1%	—	$61 – $62
5	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
6	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
7	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
8	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
9	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
10	CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
11	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
12	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
13	Fairview Health Services Minneapolis, MN fee schedule · both	2	$51	$51	—	—	—	$51 – $51
14	Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · outpatient	1	$52	$52	$4	8%	—	$48 – $57
15	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$34	$34	—	—	—	$34 – $34
16	LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
17	Mayo Clinic Rochester, MN professional · fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
18	Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges	2	$272	$272	$3	1%	—	$269 – $275
19	Mayo Clinic Arizona Phoenix, AZ professional · fee schedule · outpatient	1	$52	$52	$8	16%	—	$43 – $60
20	Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges	1	$199	$199	—	—	—	$199 – $199
21	ORTHOCOLORADO, LLC Lakewood, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
22	St Francis Hospital Colorado Springs, CO fee schedule · outpatient	1	$49	$49	—	—	—	$49 – $49
23	The Cleveland Clinic Foundation Brunswick, OH professional · fee schedule · outpatient	1	$44	$44	—	—	—	$44 – $44
24	The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges	3	$233	$221	$24	11%	—	$188 – $243
25	The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges	1	$102	$102	—	—	—	$102 – $102