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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 3 hospitals in the network under the per diem 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 per diem rate paid per day of care.

National pricing summary

Low

$488

Average

$945

Median

$496

High

$1.9k

Hospitals reporting this code

#HospitalLocation
1Twin Cities Community Hospital IncTempleton, CA$127$496$496$3.1k—
2Sierra Vista Hospital IncObispo, CA$84$488$488$822—
3White Memorial Medical CenterAngeles, CA$65$1.9k$1.9k$1.9k—

Look up this code directly

Ask Claude or any MCP client for HCPCS 99215 pricing at a specific hospital — see how to connect.

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