☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /99211
  5. /Other
HCPCS 99211

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

Reported by 19 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$9

Average

$25

Median

$10

High

$84

Hospitals reporting this code

#HospitalLocation
1Castle Medical CenterKailua, HI$8$8$84$390$153
2Portland Adventist Medical CenterPortland, OR$6$12$43$475$112
3Ukiah Adventist HospitalUkiah, CA$8$8$9$186$2
4Adventist Health Medical Center TehachapiTehachapi, CA$12$12$12$685—
5Sonora Community HospitalSonora, CA$8$8$9$141$2
6Glendale Adventist Medical CenterGlendale, CA$8$10$73$443$125
7Twin Cities Community Hospital IncTempleton, CA$8$8$63$880$139
8Mid Columbia Medical CenterDalles, OR$8$14$14$63—
9Adventist Health DelanoDelano, CA$8$8$10$266$3
10Simi Valley Hospital And Health Care ServicesValley, CA$8$8$10$343$4
Page 1 of 2

Look up this code directly

Ask Claude or any MCP client for HCPCS 99211 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC