Outpatient office visit, established patient, level 5 at ARH Tug Valley Health Services, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OFFICE VISIT LEVEL 5 EST

Paintsville, KY

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Pricing by billing methodology

Price type

How this price compares nationally

ARH Tug Valley Health Services, Inc.’s median price of $171 is 19% below the median hospital's median price ($210), higher than 37% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at ARH Tug Valley Health Services, Inc.

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	$138.59	$126.70	$21.99 – $207.63
14	Anthem medicaid percent of total billed charges · outpatientfrom % of charges	$138.59	$126.70	$21.99 – $207.63
15	Humana medicaid percent of total billed charges · outpatientfrom % of charges	$138.59	$126.70	$21.99 – $207.63
16	Molina medicaid percent of total billed charges · outpatientfrom % of charges	$138.59	$126.70	$21.99 – $207.63
17	UnitedHealthcare medicaid percent of total billed charges · outpatientfrom % of charges	$138.59	$126.70	$21.99 – $207.63
18	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$510.48	$466.69	$81.00 – $764.80
19	Aetna commercial percent of total billed charges · bothfrom % of charges	$727.88	$665.44	$115.50 – $1,091
20	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$816.74	$756.33	$127.91 – $1,271

Last updated: Jan 1, 2026

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