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
VISIT OB TRIAGE ESTABLISHED LEVEL 5
Payson, AZ
See all hospitals reporting CPT 99215 →Price type
Banner Payson Medical Center’s median price of $231 is 10% above the median hospital's median price ($210), higher than 55% of the 1,976 hospitals reporting CPT 99215. 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 joint venture facility · percent of total billed charges · outpatientfrom % of charges | $153.70 | $153.70 | $153.70 – $153.70 |
| 2 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $191.98 | $191.98 | $191.98 – $191.98 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $716.48 | $716.48 | $118.90 – $1,314 |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $716.48 | $716.48 | $118.90 – $1,314 |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $716.48 | $716.48 | $118.90 – $1,314 |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $716.48 | $716.48 | $118.90 – $1,314 |
| 7 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $716.48 | $716.48 | $118.90 – $1,314 |
| 8 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $759.46 | $759.46 | $126.03 – $1,393 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $788.12 | $788.12 | $130.79 – $1,445 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $975.11 | $975.11 | $161.82 – $1,788 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1,124 | $1,124 | $186.47 – $2,061 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,124 | $1,124 | $186.47 – $2,061 |
| 13 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,171 | $1,171 | $194.30 – $2,147 |
| 14 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,182 | $1,182 | $196.19 – $2,168 |
| 15 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $1,304 | $1,304 | $1,304 – $1,304 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1,391 | $1,391 | $230.84 – $2,551 |
| 17 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1,391 | $1,391 | $230.84 – $2,551 |
Last updated: Mar 2, 2026
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