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
Prestonsburg, KY
See all hospitals reporting CPT 99213 →Price type
ARH Tug Valley Health Services, Inc.’s median price of $56 is 55% below the median hospital's median price ($124), higher than 7% 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, 17 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 | $42.63 | $42.63 | $42.63 – $42.63 |
| 2 | Aetna Better Health medicaid fee schedule · outpatient | $42.63 | $42.63 | $42.63 – $42.63 |
| 3 | Aetna medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 4 | Aetna medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 5 | Optum veterans affairs plan fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 6 | Optum veterans affairs plan fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 7 | UnitedHealthcare medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 8 | UnitedHealthcare medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 9 | WellCare medicare fee schedule · both | $56.25 | $56.25 | $56.25 – $56.25 |
| 10 | WellCare medicare fee schedule · outpatient | $56.25 | $56.25 | $56.25 – $56.25 |
| 11 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $135.00 | $135.00 | $21.46 – $248.53 |
| 12 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $135.00 | $135.00 | $21.46 – $248.53 |
| 13 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $137.70 | $137.70 | $21.89 – $253.50 |
| 14 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $139.05 | $139.05 | $22.10 – $255.99 |
| 15 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $207.15 | $207.15 | $32.93 – $381.37 |
| 16 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $279.89 | $292.85 | $44.10 – $567.51 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $322.59 | $322.59 | $51.28 – $593.90 |
Last updated: Jan 1, 2026
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