Outpatient office visit, established patient, level 5 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

99215 EST PATIENT E&M LVL V

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 $296 is 41% above the median hospital's median price ($210), higher than 69% 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 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	$100.96	$100.96	$42.48 – $159.44
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$100.96	$100.96	$42.48 – $159.44
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$106.07	$106.07	$44.62 – $167.51
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$109.01	$109.01	$45.86 – $172.16
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$111.06	$111.06	$46.72 – $175.39
6	Blue Cross Blue Shield exchange fee schedule · outpatient	$165.48	$165.48	$165.48 – $165.48
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$187.02	$187.02	$187.02 – $187.02
8	Humana medicare advantage case rate · outpatient	$194.51	$194.51	$194.51 – $194.51
9	Humana medicare advantage ppo case rate · outpatient	$194.51	$194.51	$194.51 – $194.51
10	Molina medicare advantage case rate · outpatient	$196.38	$196.38	$196.38 – $196.38
11	WellCare medicare advantage hmo case rate · outpatient	$196.38	$196.38	$196.38 – $196.38
12	WellCare medicare advantage mmp case rate · outpatient	$205.73	$205.73	$205.73 – $205.73
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$207.60	$207.60	$207.60 – $207.60
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$211.34	$211.34	$211.34 – $211.34
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$314.60	$314.60	$314.60 – $314.60
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$349.57	$349.57	$349.57 – $349.57
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$465.78	$465.78	$195.96 – $735.59
18	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$586.70	$586.70	$246.83 – $926.56
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$621.07	$621.07	$261.29 – $980.85
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$621.64	$621.64	$261.53 – $981.74
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$627.08	$627.08	$263.82 – $990.34
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$788.39	$788.39	$331.69 – $1,245
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$790.66	$790.66	$332.64 – $1,249
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$795.20	$795.20	$334.55 – $1,256
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$795.20	$795.20	$334.55 – $1,256

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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