Outpatient follow-up visit with established patient 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

99212 EST PATIENT E&M LVL II

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $117 is 31% above the median hospital's median price ($89), higher than 64% of the 2,065 hospitals reporting CPT 99212. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99212 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 exchange fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
2	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$24	$39	$26	65%	—	$18 – $75
3	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$24	$39	$26	65%	—	$18 – $75
4	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$26	$41	$27	65%	—	$19 – $79
5	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$26	$43	$28	65%	—	$20 – $81
6	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$27	$43	$28	65%	—	$20 – $83
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$58	$58	—	—	—	$58 – $58
8	Humana medicare advantage case rate · outpatient	$60	$60	—	—	—	$60 – $60
9	Humana medicare advantage ppo case rate · outpatient	$60	$60	—	—	—	$60 – $60
10	Molina medicare advantage case rate · outpatient	$60	$60	—	—	—	$60 – $60
11	WellCare medicare advantage hmo case rate · outpatient	$60	$60	—	—	—	$60 – $60
12	WellCare medicare advantage mmp case rate · outpatient	$63	$63	—	—	—	$63 – $63
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$64	$64	—	—	—	$64 – $64
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$65	$65	—	—	—	$65 – $65
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$113	$182	$118	65%	—	$85 – $348
18	Blue Cross Blue Shield traditional fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
19	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$142	$229	$149	65%	—	$107 – $438
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$150	$242	$157	65%	—	$113 – $464
21	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$150	$243	$157	65%	—	$113 – $464
22	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$152	$245	$159	65%	—	$114 – $468
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$191	$308	$200	65%	—	$144 – $589
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$191	$308	$200	65%	—	$144 – $590
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$192	$310	$201	65%	—	$145 – $594

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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