Outpatient new patient office visit at Astera Health

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

New Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 45 Min Met or Exceeded

Wadena, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Astera Health’s median price of $324 is 57% above the median hospital's median price ($206), higher than 75% of the 1,963 hospitals reporting CPT 99204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99204 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 58 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	Sanford Health Plan sanford health plan [100578] fee schedule · inpatient	$82	$82	—	—	—	$82 – $82
2	Ucare ucare pmap [300063] fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
3	Medica medica mncare [100751] fee schedule · inpatient	$98	$98	—	—	—	$98 – $98
4	Medica medica mncare [100751] fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
5	Medica medica pmap [100345] fee schedule · inpatient	$98	$98	—	—	—	$98 – $98
6	Medica medica pmap [100345] fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
7	Ucare ucare pmap [300063] fee schedule · inpatient	$107	$107	—	—	—	$107 – $107
8	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
9	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
10	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
11	Ucare mr-ucare [300064] fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
12	Ucare mr-ucare msho [300061] fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
13	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient	$160	$160	—	—	—	$160 – $160
14	Medica mr-medica advantage solutions [100895] fee schedule · inpatient	$160	$160	—	—	—	$160 – $160
15	Ucare mr-ucare [300064] fee schedule · inpatient	$160	$160	—	—	—	$160 – $160
16	Ucare mr-ucare msho [300061] fee schedule · inpatient	$160	$160	—	—	—	$160 – $160
17	UnitedHealthcare united healthcare [100453] fee schedule · inpatient	$165	$165	—	—	—	$165 – $165
18	UnitedHealthcare united healthcare [100453] fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
19	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
20	Medica mr-medica dual solutions msho [100344] fee schedule · inpatient	$217	$217	—	—	—	$217 – $217
21	Medica medica [100341] fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
22	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
23	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
24	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$250	$250	—	—	—	$250 – $250
25	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$320	$320	—	—	—	$320 – $320

Page 1 of 3 · 58 rates

Last updated: Feb 20, 2026

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See Outpatient new patient office visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.