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.
Original text from hospital filings
PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN
Albany, NY
See all hospitals reporting CPT 99213 →Price type
Albany Medical Center Hospital’s median price of $92 is 26% below the median hospital's median price ($124), higher than 31% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 69 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $47.88 | $48.09 | $30.66 – $67.83 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $50.12 | $50.12 | $50.12 – $50.12 |
| 3 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $50.52 | $50.52 | $50.52 – $50.52 |
| 4 | Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient | $51.08 | $51.08 | $51.08 – $51.08 |
| 5 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $52.63 | $52.63 | $52.63 – $52.63 |
| 6 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $52.63 | $52.63 | $52.63 – $52.63 |
| 7 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $57.89 | $57.89 | $57.89 – $57.89 |
| 8 | Tricare all products_physician_fac professional · fee schedule · outpatient | $61.91 | $61.91 | $61.91 – $61.91 |
| 9 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $61.92 | $61.92 | $61.92 – $61.92 |
| 10 | Highmark medicaid_fac professional · fee schedule · outpatient | $61.92 | $61.92 | $61.92 – $61.92 |
| 11 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $61.92 | $61.92 | $61.92 – $61.92 |
| 12 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $63.26 | $63.26 | $63.26 – $63.26 |
| 13 | Highmark medicare_midlevel_nof professional · fee schedule · outpatient | $64.06 | $64.06 | $64.06 – $64.06 |
| 14 | Highmark medicare_midlevel_off professional · fee schedule · outpatient | $64.06 | $64.06 | $64.06 – $64.06 |
| 15 | Aetna medicare_fac professional · fee schedule · outpatient | $64.40 | $64.40 | $64.40 – $64.40 |
| 16 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $68.11 | $68.11 | $68.11 – $68.11 |
| 17 | Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient | $70.84 | $70.84 | $70.84 – $70.84 |
| 18 | Cigna commercial-select-exchange_fac professional · fee schedule · outpatient | $71.22 | $71.22 | $71.22 – $71.22 |
| 19 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $72.98 | $72.98 | $72.98 – $72.98 |
| 20 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $72.98 | $72.98 | $72.98 – $72.98 |
| 21 | Highmark medicare_nof professional · fee schedule · outpatient | $75.36 | $75.36 | $75.36 – $75.36 |
| 22 | Highmark medicare_off professional · fee schedule · outpatient | $75.36 | $75.36 | $75.36 – $75.36 |
| 23 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $80.28 | $80.28 | $80.28 – $80.28 |
| 24 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $84.92 | $84.92 | $84.92 – $84.92 |
| 25 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $84.92 | $84.92 | $84.92 – $84.92 |
Last updated: Dec 31, 2025
See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.