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
Middlesboro, KY
See all hospitals reporting CPT 99213 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $153 is 23% above the median hospital's median price ($124), higher than 62% 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 | Aetna Better Health medicaid fee schedule · both | $50.09 | $50.09 | $50.09 – $50.09 |
| 2 | Aetna Better Health medicaid fee schedule · outpatient | $50.09 | $50.09 | $50.09 – $50.09 |
| 3 | WellCare medicaid fee schedule · both | $50.09 | $50.09 | $50.09 – $50.09 |
| 4 | WellCare 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 | $58.94 | $60.33 | $13.59 – $128.52 |
| 14 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $58.94 | $60.33 | $13.59 – $128.52 |
| 15 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $58.94 | $72.02 | $41.68 – $128.52 |
| 16 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $58.94 | $72.02 | $41.68 – $128.52 |
| 17 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $80.25 | $82.15 | $18.50 – $175.00 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $239.15 | $292.23 | $169.12 – $521.50 |
| 19 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $273.64 | $334.37 | $188.55 – $612.01 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $288.90 | $353.03 | $204.30 – $630.00 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $298.53 | $364.79 | $211.11 – $651.00 |
Last updated: Jan 1, 2026
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