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
OFFICE VISIT LEVEL 3 EST
Hazard, KY
See all hospitals reporting CPT 99213 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $167 is 34% above the median hospital's median price ($124), higher than 67% 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, 21 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 | WellCare medicaid fee schedule · both | $40.36 | $40.36 | $40.36 – $40.36 |
| 2 | WellCare medicaid fee schedule · outpatient | $40.36 | $40.36 | $40.36 – $40.36 |
| 3 | Aetna Better Health medicaid fee schedule · both | $50.09 | $50.09 | $50.09 – $50.09 |
| 4 | Aetna Better Health medicaid fee schedule · outpatient | $50.09 | $50.09 | $50.09 – $50.09 |
| 5 | Aetna medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 6 | Aetna medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 7 | Optum veterans affairs plan fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 8 | Optum veterans affairs plan fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 9 | UnitedHealthcare medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 10 | UnitedHealthcare medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 11 | WellCare medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 12 | WellCare medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 13 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $152.14 | $110.54 | $16.61 – $166.50 |
| 14 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $152.14 | $110.54 | $16.61 – $166.50 |
| 15 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $162.72 | $118.22 | $17.76 – $178.08 |
| 16 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $159.32 | $134.02 | $50.94 – $166.50 |
| 17 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $159.32 | $134.02 | $50.94 – $166.50 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $525.40 | $441.97 | $167.98 – $549.08 |
| 19 | Humana medicare other · outpatient | $502.00 | $502.00 | $502.00 – $502.00 |
| 20 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $604.55 | $509.13 | $188.55 – $648.73 |
| 21 | Aetna commercial percent of total billed charges · bothfrom % of charges | $639.00 | $537.53 | $204.30 – $667.80 |
Last updated: Jan 1, 2026
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