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HCPCS 99213

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

$61

Average

$148

Median

$113

High

$667

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$52$147$168$366$123
2Aiken Regional Medical CentersWashington, DC—$166$144—$51
3Northwest Texas Healthcare SystemAmarillo, TX—$197$219—$204
4Castle Medical CenterKailua, HI$29$59$80$131$35
5Northwest Medical Foundation Of TillamookTillamook, OR$53$148$149$319$61
6Portland Adventist Medical CenterPortland, OR$47$186$173$563$97
7Ukiah Adventist HospitalUkiah, CA$24$83$92$505$57
8Adventist Health Medical Center TehachapiTehachapi, CA$24$66$84$685$73
9Sonora Community HospitalSonora, CA$24$84$101$314$68
10Glendale Adventist Medical CenterGlendale, CA$24$72$109$883$115
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