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 5 EST
McDowell, KY
See all hospitals reporting CPT 99215 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $83 is 60% below the median hospital's median price ($210), higher than 3% of the 1,976 hospitals reporting CPT 99215. 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, 14 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 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 2 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 3 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 4 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 5 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 6 | Optum veterans affairs plan percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 7 | WellCare medicare percent of total billed charges · outpatientfrom % of charges | $56.61 | $55.19 | $26.18 – $82.79 |
| 8 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $57.18 | $55.75 | $26.44 – $83.62 |
| 9 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $57.74 | $56.30 | $26.70 – $84.45 |
| 10 | Aetna medicare percent of total billed charges · outpatientfrom % of charges | $86.58 | $84.41 | $40.04 – $126.62 |
| 11 | UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges | $123.21 | $120.13 | $56.98 – $180.19 |
| 12 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $247.75 | $241.55 | $114.58 – $362.33 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $283.87 | $276.76 | $127.91 – $425.78 |
| 14 | Aetna commercial percent of total billed charges · bothfrom % of charges | $293.04 | $285.71 | $135.52 – $428.56 |
Last updated: Jan 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.