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HCPCS 99215

Office/outpatient visit est

Reported by 51 hospitals in the network under the fee schedule 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 negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$58

Average

$295

Median

$215

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1The Mount Sinai HospitalNew York, NY$113$177$198$366$95
2Northwest Texas Healthcare SystemAmarillo, TX—$73$171—$169
3Castle Medical CenterKailua, HI$29$134$168$287$82
4Northwest Medical Foundation Of TillamookTillamook, OR$104$236$237$482$51
5Ukiah Adventist HospitalUkiah, CA$57$137$134$505$66
6Adventist Health Medical Center TehachapiTehachapi, CA$57$143$157$685$82
7Sonora Community HospitalSonora, CA$57$139$131$766$54
8Glendale Adventist Medical CenterGlendale, CA$57$146$137$2.0k$48
9Twin Cities Community Hospital IncTempleton, CA$127$2.4k$1.9k$3.1k$1.0k
10Mid Columbia Medical CenterDalles, OR$123$198$215$483$108
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