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HCPCS 99213

99213 OFFICE OUTPATIENT VISIT 15 MINUTES - T

Reported by 30 hospitals in the network under the percent of billed charges 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 negotiated percentage of total billed charges.

National pricing summary

Low

$64

Average

$160

Median

$145

High

$334

Hospitals reporting this code

#HospitalLocation
1Aiken Regional Medical CentersWashington, DC—$166$144—$51
2Northwest Texas Healthcare SystemAmarillo, TX—$245$334—$203
3Castle Medical CenterKailua, HI$29$59$80$131$30
4Northwest Medical Foundation Of TillamookTillamook, OR$53$157$151$319$48
5Portland Adventist Medical CenterPortland, OR$47$205$203$563$50
6Ukiah Adventist HospitalUkiah, CA$24$116$131$505$40
7Adventist Health Medical Center TehachapiTehachapi, CA$24$72$87$685$31
8Sonora Community HospitalSonora, CA$24$132$166$314$66
9Glendale Adventist Medical CenterGlendale, CA$24$116$214$883$144
10Twin Cities Community Hospital IncTempleton, CA$58$245$279$15.8k$135
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