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
Middlesboro, KY
See all hospitals reporting CPT 99215 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $382 is 81% above the median hospital's median price ($210), higher than 81% 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, 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 | Aetna Better Health medicaid fee schedule · outpatient | $109.80 | $109.80 | $109.80 – $109.80 |
| 2 | WellCare medicaid fee schedule · outpatient | $109.80 | $109.80 | $109.80 – $109.80 |
| 3 | Aetna medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 4 | Optum veterans affairs plan fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 5 | UnitedHealthcare medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 6 | WellCare medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 7 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $280.36 | $196.33 | $28.27 – $280.36 |
| 8 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $280.36 | $196.33 | $28.27 – $280.36 |
| 9 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $381.75 | $267.33 | $38.50 – $381.75 |
| 10 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $280.36 | $280.36 | $280.36 – $280.36 |
| 11 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $280.36 | $280.36 | $280.36 – $280.36 |
| 12 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1,138 | $1,138 | $1,138 – $1,138 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $1,302 | $1,302 | $1,268 – $1,335 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1,374 | $1,374 | $1,374 – $1,374 |
| 15 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1,420 | $1,420 | $1,420 – $1,420 |
Last updated: Jan 1, 2026
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