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 HIGH MDM 40 MIN
Albany, NY
See all hospitals reporting CPT 99215 →Price type
Albany Medical Center Hospital’s median price of $168 is 20% below the median hospital's median price ($210), higher than 36% of the 1,976 hospitals reporting CPT 99215. 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, 65 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 · fee schedule · outpatient | $109.31 | $109.31 | $109.31 – $109.31 |
| 2 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $109.99 | $109.99 | $109.99 – $109.99 |
| 3 | Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient | $111.23 | $111.23 | $111.23 – $111.23 |
| 4 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $114.61 | $114.61 | $114.61 – $114.61 |
| 5 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $114.61 | $114.61 | $114.61 – $114.61 |
| 6 | Highmark medicare_midlevel_nof professional · fee schedule · outpatient | $125.85 | $125.85 | $125.85 – $125.85 |
| 7 | Highmark medicare_midlevel_off professional · fee schedule · outpatient | $125.85 | $125.85 | $125.85 – $125.85 |
| 8 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $126.06 | $126.06 | $126.06 – $126.06 |
| 9 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $134.83 | $134.83 | $134.83 – $134.83 |
| 10 | Highmark medicaid_fac professional · fee schedule · outpatient | $134.83 | $134.83 | $134.83 – $134.83 |
| 11 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $134.83 | $134.83 | $134.83 – $134.83 |
| 12 | Tricare all products_physician_fac professional · fee schedule · outpatient | $134.84 | $134.84 | $134.84 – $134.84 |
| 13 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $137.81 | $137.81 | $137.81 – $137.81 |
| 14 | Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient | $140.11 | $140.11 | $140.11 – $140.11 |
| 15 | Aetna medicare_fac professional · fee schedule · outpatient | $140.22 | $140.22 | $140.22 – $140.22 |
| 16 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $144.35 | $144.35 | $144.35 – $144.35 |
| 17 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $144.36 | $144.36 | $144.36 – $144.36 |
| 18 | Highmark medicare_nof professional · fee schedule · outpatient | $148.06 | $148.06 | $148.06 – $148.06 |
| 19 | Highmark medicare_off professional · fee schedule · outpatient | $148.06 | $148.06 | $148.06 – $148.06 |
| 20 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $148.31 | $148.31 | $148.31 – $148.31 |
| 21 | Cigna commercial-select-exchange_fac professional · fee schedule · outpatient | $155.07 | $155.07 | $155.07 – $155.07 |
| 22 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $158.79 | $158.79 | $158.79 – $158.79 |
| 23 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $184.63 | $163.09 | $120.00 – $184.63 |
| 24 | UnitedHealthcare veterans affairs community care network (vaccn) facility · fee schedule · outpatient | $184.63 | $163.09 | $120.00 – $184.63 |
| 25 | Cigna bh-ipa_apn-pa professional · fee schedule · outpatient | $168.30 | $168.30 | $168.30 – $168.30 |
Last updated: Dec 31, 2025
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.