Outpatient office visit, established patient, level 5 at Alice Hyde Medical Center

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

PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN

Malone, NY

See all hospitals reporting CPT 99215 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Alice Hyde Medical Center’s median price of $172 is 18% below the median hospital's median price ($210), higher than 38% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Alice Hyde Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 19 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.

Filter by billing methodology

Filter by billing class

#
1	Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges	$132.16	$132.16	$132.16 – $132.16
2	Excellus managed medicaid/essential plans professional · fee schedule · both	$139.06	$139.06	$139.06 – $139.06
3	Humana tricare professional · fee schedule · both	$144.36	$144.36	$144.36 – $144.36
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$155.76	$155.76	$155.76 – $155.76
5	Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$155.76	$155.76	$155.76 – $155.76
6	Humana tricare facility · percent of total billed charges · outpatientfrom % of charges	$155.76	$155.76	$155.76 – $155.76
7	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$155.76	$155.76	$155.76 – $155.76
8	Excellus commercial professional · fee schedule · both	$183.10	$183.10	$183.10 – $183.10
9	Aetna medicare advantage professional · fee schedule · both	$186.64	$186.64	$186.64 – $186.64
10	Excellus medicare advantage professional · fee schedule · both	$186.64	$186.64	$186.64 – $186.64
11	UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges	$205.45	$205.45	$205.45 – $205.45
12	UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges	$205.45	$205.45	$205.45 – $205.45
13	Aetna commercial professional · fee schedule · both	$267.60	$267.60	$267.60 – $267.60
14	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$305.64	$305.64	$280.86 – $330.42
15	Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges	$394.64	$394.64	$394.64 – $394.64
16	UnitedHealthcare commercial professional · fee schedule · both	$403.71	$403.71	$403.71 – $403.71
17	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$410.17	$410.17	$410.17 – $410.17
18	Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges	$422.91	$422.91	$422.91 – $422.91
19	Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges	$575.26	$575.26	$575.26 – $575.26

Last updated: Sep 8, 2026

Compare to other hospitals

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.