Outpatient new patient office visit, high complexity at AMH Cath Labs LLC

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

99205 NEW PATIENT E&M LVL V

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $296 is 15% above the median hospital's median price ($257), higher than 57% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$111	$111	$69	62%	—	$42 – $180
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$111	$111	$69	62%	—	$42 – $180
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$117	$117	$73	62%	—	$45 – $190
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$120	$120	$75	62%	—	$46 – $195
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$123	$123	$76	62%	—	$47 – $199
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$230	$230	—	—	—	$230 – $230
7	Humana medicare advantage case rate · outpatient	$239	$239	—	—	—	$239 – $239
8	Humana medicare advantage ppo case rate · outpatient	$239	$239	—	—	—	$239 – $239
9	Molina medicare advantage case rate · outpatient	$242	$242	—	—	—	$242 – $242
10	WellCare medicare advantage hmo case rate · outpatient	$242	$242	—	—	—	$242 – $242
11	Blue Cross Blue Shield exchange fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
12	WellCare medicare advantage mmp case rate · outpatient	$253	$253	—	—	—	$253 – $253
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$255	$255	—	—	—	$255 – $255
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$260	$260	—	—	—	$260 – $260
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$477	$477	—	—	—	$477 – $477
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$514	$514	$318	62%	—	$196 – $833
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$531	$531	—	—	—	$531 – $531
18	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$648	$648	$401	62%	—	$247 – $1.0k
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$686	$686	$425	62%	—	$261 – $1.1k
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$686	$686	$425	62%	—	$262 – $1.1k
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$692	$692	$429	62%	—	$264 – $1.1k
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$871	$871	$539	62%	—	$332 – $1.4k
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$873	$873	$540	62%	—	$333 – $1.4k
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$878	$878	$544	62%	—	$335 – $1.4k
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$878	$878	$544	62%	—	$335 – $1.4k

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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