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
Williamson, KY
See all hospitals reporting CPT 99215 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $123 is 42% below the median hospital's median price ($210), higher than 13% 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, 20 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 | $87.17 | $87.17 | $87.17 – $87.17 |
| 2 | WellCare medicaid fee schedule · outpatient | $87.17 | $87.17 | $87.17 – $87.17 |
| 3 | Aetna Better Health medicaid fee schedule · both | $109.80 | $109.80 | $109.80 – $109.80 |
| 4 | Aetna Better Health medicaid fee schedule · outpatient | $109.80 | $109.80 | $109.80 – $109.80 |
| 5 | Aetna medicare fee schedule · both | $122.82 | $122.82 | $122.82 – $122.82 |
| 6 | Aetna medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 7 | Optum veterans affairs plan fee schedule · both | $122.82 | $122.82 | $122.82 – $122.82 |
| 8 | Optum veterans affairs plan fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 9 | UnitedHealthcare medicare fee schedule · both | $122.82 | $122.82 | $122.82 – $122.82 |
| 10 | UnitedHealthcare medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 11 | WellCare medicare fee schedule · both | $122.82 | $122.82 | $122.82 – $122.82 |
| 12 | WellCare medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 13 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $128.60 | $128.60 | $23.56 – $233.63 |
| 14 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $128.60 | $128.60 | $23.56 – $233.63 |
| 15 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $193.32 | $193.32 | $35.42 – $351.21 |
| 16 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $233.63 | $233.63 | $233.63 – $233.63 |
| 17 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $233.63 | $233.63 | $233.63 – $233.63 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1,095 | $1,095 | $1,095 – $1,095 |
| 19 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $1,302 | $1,302 | $1,268 – $1,335 |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $1,374 | $1,374 | $1,374 – $1,374 |
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.