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
HCHG EST PT FAC VISIT LEVEL V
Ulm, MN
See all hospitals reporting CPT 99215 →Price type
Allina Health Systems’s median price of $117 is 44% below the median hospital's median price ($210), higher than 11% 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: 8 payers, 23 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 | Medica medica ubh (n) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Medica medica ubh pmap (n) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $30.54 | $30.54 | $30.54 – $30.54 |
| 4 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $48.27 | $48.27 | $48.27 – $48.27 |
| 5 | Medicaid medicaid ma (n) facility · other · outpatient | $66.45 | $66.45 | $66.45 – $66.45 |
| 6 | Medica medica medicare (r) facility · fee schedule · outpatient | $67.44 | $67.44 | $67.44 – $67.44 |
| 7 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $68.31 | $68.31 | $68.31 – $68.31 |
| 8 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $70.58 | $70.58 | $70.58 – $70.58 |
| 9 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $93.01 | $93.01 | $93.01 – $93.01 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $93.93 | $93.93 | $93.93 – $93.93 |
| 11 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $100.48 | $100.48 | $100.48 – $100.48 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $101.48 | $101.48 | $101.48 – $101.48 |
| 13 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $106.26 | $106.26 | $106.26 – $106.26 |
| 14 | Cigna hpi cigna (n) facility · other · outpatient | $124.14 | $124.14 | $124.14 – $124.14 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $127.51 | $127.51 | $127.51 – $127.51 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $127.51 | $127.51 | $127.51 – $127.51 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $128.39 | $128.39 | $128.39 – $128.39 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $129.68 | $129.68 | $129.68 – $129.68 |
| 19 | Bcbs Mn bc pmap (n) facility · other · outpatient | $274.63 | $274.63 | $274.63 – $274.63 |
| 20 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $740.10 | $740.10 | $740.10 – $740.10 |
| 21 | Bcbs Mn bc premier(n) facility · other · outpatient | $950.74 | $950.74 | $950.74 – $950.74 |
| 22 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $1,118 | $1,118 | $1,118 – $1,118 |
| 23 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $1,201 | $1,201 | $1,201 – $1,201 |
Last updated: Jun 16, 2026
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.