RC 987

Physician initial hospital visit, moderate complexity, 55 minutes

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

99213 Office/OP Estab., Low

Payers reporting RC 987

Payer pricing summary

Low

Average

$315

Median

$203

High

$1.7k

Payer rate distribution

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#
1	Medicare other · inpatient · +6 other terms	2	$0	$0	—	—	46–118	$0 – $0
2	Healthpartners facility · case rate · both · +10 other terms	5	$906	$931	$794	85%	30–75	$238 – $2.4k
3	UnitedHealthcare fee schedule · outpatient · +26 other terms	36	$165	$284	$333	117%	8–80	$0 – $2.6k
4	Bcbs Mo professional · other · both	2	$135	$170	$91	54%	8–80	$49 – $326
5	Humana professional · fee schedule · both · +21 other terms	25	$122	$151	$165	109%	5–50	$0 – $1.7k
6	Molina professional · fee schedule · both · +15 other terms	15	$153	$155	$164	106%	2–20	$0 – $944
7	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	26	$208	$231	$248	107%	1–10	$0 – $2.1k
8	Bcbs Ne professional · other · both	1	$69	$69	—	—	1–10	$69 – $69
9	Aetna fee schedule · both · +23 other terms	33	$118	$172	$159	92%	—	$40 – $1.5k
10	Medica fee schedule · outpatient · +12 other terms	24	$237	$286	$300	105%	—	$0 – $3.1k
11	MultiPlan fee schedule · outpatient · +12 other terms	17	$270	$364	$374	103%	—	$0 – $3.5k
12	WellCare fee schedule · both · +11 other terms	17	$35	$137	$130	95%	—	$35 – $913
13	Anthem fee schedule · both · +15 other terms	16	$179	$210	$237	113%	—	$40 – $2.7k
14	Cigna fee schedule · both · +19 other terms	15	$79	$98	$47	48%	—	$57 – $324
15	Beechstreet percent of total billed charges · bothfrom % of charges · +1 other terms	13	$46	$71	$66	93%	—	$46 – $291
16	Aetna Better Health professional · fee schedule · both · +2 other terms	12	$149	$118	$125	106%	—	$0 – $850
17	Ambetter fee schedule · both · +6 other terms	12	$59	$87	$48	56%	—	$52 – $246
18	Amerihealth Caritas fee schedule · both · +4 other terms	12	$35	$35	—	—	—	$35 – $35
19	Cigna Healthspring fee schedule · both · +1 other terms	12	$45	$46	$1	1%	—	$45 – $48
20	Medcost fee schedule · both · +3 other terms	12	$82	$82	—	—	—	$82 – $82
21	Sanford Health Plan fee schedule · outpatient · +1 other terms	12	$304	$408	$454	111%	—	$0 – $3.0k
22	Bcbs Nc fee schedule · both	11	$71	$72	$10	14%	—	$45 – $83
23	Bcbs Il professional · fee schedule · both · +3 other terms	10	$165	$182	$209	115%	—	$0 – $1.3k
24	First Health professional · fee schedule · both · +10 other terms	9	$375	$222	$264	119%	—	$9 – $2.9k
25	Caresource professional · fee schedule · both · +6 other terms	7	$207	$200	$214	107%	—	$0 – $1.1k

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