Extended outpatient visit time beyond the standard service 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

Prolonged Outpatient E&M, Time W and WO Pt, Beyond Min Req Time of Primary Proc Ea 15 Min, List in Add to OP E&M (Pro CAH)

Wadena, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Astera Health’s median price of $34 is 33% below the median hospital's median price ($50), higher than 32% of the 1,180 hospitals reporting CPT 99417. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99417 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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	Ucare ucare pmap [300063] fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
2	Medica medica mncare [100751] fee schedule · inpatient	$22	$22	—	—	—	$22 – $22
3	Medica medica mncare [100751] fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
4	Medica medica pmap [100345] fee schedule · inpatient	$22	$22	—	—	—	$22 – $22
5	Medica medica pmap [100345] fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
6	Ucare ucare pmap [300063] fee schedule · inpatient	$24	$24	—	—	—	$24 – $24
7	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient	$34	$34	—	—	—	$34 – $34
8	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
9	Medica mr-medica advantage solutions [100895] fee schedule · inpatient	$34	$34	—	—	—	$34 – $34
10	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
11	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
12	Ucare mr-ucare [300064] fee schedule · inpatient	$34	$34	—	—	—	$34 – $34
13	Ucare mr-ucare [300064] fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
14	Ucare mr-ucare msho [300061] fee schedule · inpatient	$34	$34	—	—	—	$34 – $34
15	Ucare mr-ucare msho [300061] fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
16	UnitedHealthcare united healthcare [100453] fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
17	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
18	UnitedHealthcare united healthcare [100453] fee schedule · inpatient	$42	$42	—	—	—	$42 – $42
19	Medica medica [100341] fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
20	Medica mr-medica dual solutions msho [100344] fee schedule · inpatient	$45	$45	—	—	—	$45 – $45
21	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
22	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
23	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
24	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
25	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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