Outpatient office visit, established patient at Adena Health System

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CLINIC VISIT ESTABLISHED PT LEVEL 3

Chillicothe, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Adena Health System’s median price of $96 is 23% below the median hospital's median price ($124), higher than 36% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Adena Health System

Negotiated rates from the hospital’s own file: 9 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medical Mutual managed care facility · percent of total billed charges · inpatientfrom % of charges	$62.54	$62.54	$62.54 – $62.54
2	Anthem pathway hmo facility · percent of total billed charges · outpatientfrom % of charges	$62.57	$62.57	$62.57 – $62.57
3	Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges	$65.46	$65.46	$65.46 – $65.46
4	Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges	$77.04	$77.04	$77.04 – $77.04
5	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$81.31	$81.31	$81.31 – $81.31
6	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$81.31	$81.31	$81.31 – $81.31
7	Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges	$85.58	$85.58	$85.58 – $85.58
8	Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges	$87.65	$87.65	$87.65 – $87.65
9	Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$87.65	$87.65	$87.65 – $87.65
10	Aetna medicare advantage facility · fee schedule · outpatient	$90.97	$90.97	$90.97 – $90.97
11	Humana medicare advantage facility · fee schedule · outpatient	$90.97	$90.97	$90.97 – $90.97
12	Medical Mutual medicare advantage facility · fee schedule · outpatient	$90.97	$90.97	$90.97 – $90.97
13	Molina medicare advantage/dual facility · fee schedule · outpatient	$90.97	$90.97	$90.97 – $90.97
14	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$90.97	$90.97	$90.97 – $90.97
15	Caresource medicare advantage facility · fee schedule · outpatient	$92.79	$92.79	$92.79 – $92.79
16	Medical Mutual managed care facility · case rate · outpatient	$95.52	$95.52	$95.52 – $95.52
17	Medical Mutual traditional commercial facility · case rate · outpatient	$95.52	$95.52	$95.52 – $95.52
18	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$98.26	$98.26	$98.26 – $98.26
19	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$98.26	$98.26	$98.26 – $98.26
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$98.67	$98.67	$98.67 – $98.67
21	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$108.04	$108.04	$108.04 – $108.04
22	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$108.04	$108.04	$108.04 – $108.04
23	Caresource commercial facility · fee schedule · outpatient	$181.95	$181.95	$181.95 – $181.95
24	Molina commercial facility · fee schedule · outpatient	$186.50	$186.50	$186.50 – $186.50

Last updated: Aug 19, 2026

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