Outpatient office visit, established patient at Aspirus Stevens Point 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

Stevens Point, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Aspirus Stevens Point Hospital’s median price of $98 is 21% below the median hospital's median price ($124), higher than 37% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Aspirus Stevens Point Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	Anthem anthem mediblue dual hmo snp fee schedule · both	$45.34	$45.34	$45.34 – $45.34
2	Anthem anthem wisconsin medicaid plans fee schedule · both	$49.31	$49.31	$49.31 – $49.31
3	Aetna medicare advantage esa fee schedule · both	$51.13	$51.13	$51.13 – $51.13
4	Humana humana medicare ppo/pos/hmo network plans fee schedule · both	$51.42	$51.42	$51.42 – $51.42
5	Anthem anthem mediblue plus hmo fee schedule · both	$51.64	$51.64	$51.64 – $51.64
6	Anthem anthem medicare advantage plans fee schedule · both	$51.64	$51.64	$51.64 – $51.64
7	UnitedHealthcare va community care network fee schedule · both	$51.65	$51.65	$51.65 – $51.65
8	Anthem anthem mediblue access ppo fee schedule · both	$51.94	$51.94	$51.94 – $51.94
9	Tricare tricare plans fee schedule · both	$52.88	$52.88	$52.88 – $52.88
10	UnitedHealthcare united healthcare medicaid plans fee schedule · both	$58.58	$58.58	$58.58 – $58.58
11	UnitedHealthcare united healthcare medicare advantage plans fee schedule · both	$60.76	$60.76	$60.76 – $60.76
12	UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both	$107.33	$107.33	$107.33 – $107.33
13	Anthem anthem blue preferred hmo fee schedule · both	$119.84	$119.84	$119.84 – $119.84
14	MultiPlan phcs ppo networks fee schedule · both	$125.00	$125.00	$125.00 – $125.00
15	Anthem anthem blue preferred pos fee schedule · both	$125.83	$125.83	$125.83 – $125.83
16	Anthem anthem federal employee program fee schedule · both	$132.12	$132.12	$132.12 – $132.12
17	Anthem anthem blue access ppo fee schedule · both	$132.13	$132.13	$132.13 – $132.13
18	MultiPlan health eos ppos network plans fee schedule · both	$179.01	$179.01	$179.01 – $179.01
19	First Health first health national rental ppo network fee schedule · both	$198.90	$198.90	$198.90 – $198.90
20	Healthpartners health partners commercial ppo fee schedule · both	$202.66	$202.66	$202.66 – $202.66
21	Cigna cigna ppo and open access plus benefit plans fee schedule · both	$205.53	$205.53	$205.53 – $205.53
22	MultiPlan multiplan ppo network plans fee schedule · both	$205.99	$205.99	$205.99 – $205.99
23	MultiPlan aetna health plan ppo networks fee schedule · both	$212.16	$212.16	$212.16 – $212.16

Last updated: Apr 1, 2026

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