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
ESTABLISH PT LVL 3 EXP FOCUS
Maryville, IL
See all hospitals reporting CPT 99213 →Price type
Anderson Hospital’s median price of $178 is 43% above the median hospital's median price ($124), higher than 71% 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: 8 payers, 15 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 | Tricare tricare professional · other · outpatient | $87.03 | $87.03 | $87.03 – $87.03 |
| 2 | Humana humana medicare professional · other · outpatient | $92.83 | $92.83 | $92.83 – $92.83 |
| 3 | Medicare medicare professional · other · outpatient | $92.83 | $92.83 | $92.83 – $92.83 |
| 4 | UnitedHealthcare united healthcare government professional · other · outpatient | $92.83 | $92.83 | $92.83 – $92.83 |
| 5 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $162.03 | $163.84 | $149.25 – $185.35 |
| 6 | Anthem anthem facility · percent of total billed charges · outpatientfrom % of charges | $175.19 | $176.42 | $160.09 – $198.81 |
| 7 | Anthem anthem professional · percent of total billed charges · outpatientfrom % of charges | $180.01 | $181.13 | $165.82 – $205.92 |
| 8 | Aetna aetna/coventry facility · percent of total billed charges · outpatientfrom % of charges | $188.45 | $188.93 | $162.48 – $218.71 |
| 9 | Cigna cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $210.64 | $213.00 | $194.03 – $240.96 |
| 10 | Cigna cigna hmo/ppo facility · other · outpatient | $219.66 | $219.66 | $208.95 – $230.37 |
| 11 | Aetna aetna/coventry facility · case rate · outpatient | $227.00 | $227.00 | $227.00 – $227.00 |
| 12 | MultiPlan multiplan/phcs facility · percent of total billed charges · outpatientfrom % of charges | $243.04 | $243.16 | $223.88 – $278.02 |
| 13 | MultiPlan multiplan/phcs facility · percent of total billed charges · inpatientfrom % of charges | $246.52 | $245.91 | $223.88 – $278.02 |
| 14 | UnitedHealthcare united healthcare facility · case rate · outpatient | $302.00 | $302.00 | $302.00 – $302.00 |
| 15 | Tricare tricare facility · fee schedule · outpatient | $328.91 | $6,537 | $298.50 – $50,000 |
Last updated: Feb 6, 2026
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