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HCPCS 99215

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more

Reported by 14 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

$138

Average

$206

Median

$161

High

$440

Hospitals reporting this code

#HospitalLocation
1Portland Adventist Medical CenterPortland, OR$102$189$275$932$209
2Ukiah Adventist HospitalUkiah, CA$82$126$147$373$40
3Adventist Health Medical Center TehachapiTehachapi, CA$82$203$203$685—
4Sonora Community HospitalSonora, CA$82$126$141$766$35
5Glendale Adventist Medical CenterGlendale, CA$57$134$343$2.0k$484
6Twin Cities Community Hospital IncTempleton, CA$127$127$440$3.1k$827
7Mid Columbia Medical CenterDalles, OR$123$230$230$483—
8Adventist Health DelanoDelano, CA$82$127$166$335$55
9Rideout Memorial HospitalMarysville, CA$82$126$147$809$40
10San Joaquin Community HospitalBakersfield, CA$57$127$154$503$46
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