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HCPCS 99212

Office/outpatient visit est

Reported by 96 hospitals in the network.

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.

National pricing summary

Low

$33

Average

$129

Median

$78

High

$2.0k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$26$134$155$366$135
2Aiken Regional Medical CentersWashington, DC—$139$129—$62
3Northwest Texas Healthcare SystemAmarillo, TX—$65$123—$146
4Castle Medical CenterKailua, HI$27$35$47$82$19
5Northwest Medical Foundation Of TillamookTillamook, OR$32$80$102$319$71
6Portland Adventist Medical CenterPortland, OR$25$153$141$515$97
7Ukiah Adventist HospitalUkiah, CA$18$49$62$505$55
8Adventist Health Medical Center TehachapiTehachapi, CA$18$36$63$685$91
9Sonora Community HospitalSonora, CA$18$59$80$274$70
10Glendale Adventist Medical CenterGlendale, CA$18$42$76$663$95
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