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
99213 EST PATIENT E&M LVL III
Arlington, TX
See all hospitals reporting CPT 99213 →Price type
AMH Cath Labs LLC’s median price of $161 is 30% above the median hospital's median price ($124), higher than 65% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $36.49 | $54.94 | $22.94 – $105.38 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $36.49 | $54.94 | $22.94 – $105.38 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $38.34 | $57.71 | $24.10 – $110.70 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $39.40 | $59.32 | $24.77 – $113.78 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $40.14 | $60.43 | $25.23 – $115.91 |
| 6 | Blue Cross Blue Shield exchange fee schedule · outpatient | $76.14 | $76.14 | $76.14 – $76.14 |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $92.41 | $92.41 | $92.41 – $92.41 |
| 8 | Humana medicare advantage case rate · outpatient | $96.11 | $96.11 | $96.11 – $96.11 |
| 9 | Humana medicare advantage ppo case rate · outpatient | $96.11 | $96.11 | $96.11 – $96.11 |
| 10 | Molina medicare advantage case rate · outpatient | $97.03 | $97.03 | $97.03 – $97.03 |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $97.03 | $97.03 | $97.03 – $97.03 |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $101.66 | $101.66 | $101.66 – $101.66 |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $102.58 | $102.58 | $102.58 – $102.58 |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $104.43 | $104.43 | $104.43 – $104.43 |
| 15 | Blue Cross Blue Shield hmo fee schedule · outpatient | $144.75 | $144.75 | $144.75 – $144.75 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $160.84 | $160.84 | $160.84 – $160.84 |
| 17 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $168.35 | $253.44 | $105.83 – $486.15 |
| 18 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $212.05 | $319.24 | $133.31 – $612.36 |
| 19 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $224.48 | $337.95 | $141.12 – $648.24 |
| 20 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $224.68 | $338.25 | $141.25 – $648.83 |
| 21 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $226.65 | $341.22 | $142.48 – $654.52 |
| 22 | Blue Cross Blue Shield traditional fee schedule · outpatient | $426.20 | $426.20 | $426.20 – $426.20 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $284.95 | $428.99 | $179.14 – $822.88 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $285.77 | $430.22 | $179.65 – $825.25 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $287.41 | $432.69 | $180.68 – $829.98 |
Last updated: Apr 21, 2026
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