Outpatient office visit, established patient, level 5 at Aspirus Divine Savior Hospital

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/outpatient visit est

Portage, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Aspirus Divine Savior Hospital’s median price of $288 is 37% above the median hospital's median price ($210), higher than 68% 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 Aspirus Divine Savior Hospital

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	UnitedHealthcare united behavioral health wisconsin medcaid plans fee schedule · both	$107.96	$107.96	$107.96 – $107.96
2	UnitedHealthcare united healthcare wisconsin medicaid plans fee schedule · both	$109.97	$109.97	$109.97 – $109.97
3	MultiPlan aetna health plan ppo networks fee schedule · both	$114.40	$114.40	$114.40 – $114.40
4	Anthem anthem wisconsin medicaid plans fee schedule · both	$122.37	$122.37	$122.37 – $122.37
5	Anthem anthem mediblue access ppo fee schedule · both	$139.72	$139.72	$139.72 – $139.72
6	Anthem anthem mediblue dual hmo snp fee schedule · both	$166.34	$166.34	$166.34 – $166.34
7	Anthem anthem mediblue plus hmo fee schedule · both	$167.66	$167.66	$167.66 – $167.66
8	Anthem anthem medicare advantage plans fee schedule · both	$167.66	$167.66	$167.66 – $167.66
9	MultiPlan health eos ppos network plans fee schedule · both	$275.63	$275.63	$275.63 – $275.63
10	Aetna medicare advantage esa fee schedule · both	$286.64	$286.64	$286.64 – $286.64
11	Humana humana medicare ppo/pos/hmo network plans fee schedule · both	$297.84	$297.84	$297.84 – $297.84
12	Anthem anthem blue preferred pos fee schedule · both	$315.25	$315.25	$315.25 – $315.25
13	UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both	$317.15	$317.15	$317.15 – $317.15
14	UnitedHealthcare united healthcare medicare advantage plans fee schedule · both	$324.75	$324.75	$324.75 – $324.75
15	First Health first health national rental ppo network fee schedule · both	$325.62	$325.62	$325.62 – $325.62
16	Anthem anthem federal employee program fee schedule · both	$328.25	$328.25	$328.25 – $328.25
17	Anthem anthem blue access ppo fee schedule · both	$367.95	$367.95	$367.95 – $367.95
18	Cigna cigna ppo and open access plus benefit plans fee schedule · both	$388.08	$388.08	$388.08 – $388.08
19	Anthem anthem blue traditional network fee schedule · both	$401.40	$401.40	$401.40 – $401.40
20	Healthpartners health partners commercial ppo fee schedule · both	$402.19	$402.19	$402.19 – $402.19

Last updated: Apr 1, 2026

Compare to other hospitals

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.