Outpatient office visit, established patient at Berkshire Medical Center

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

Eval Est Pt Lvl 3 Wound

Pittsfield, MA

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Pricing by billing methodology

Price type

How this price compares nationally

Berkshire Medical Center’s median price of $140 is 13% above the median hospital's median price ($124), higher than 58% 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 Berkshire Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 33 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	Blue Cross Blue Shield comm blue cross ma hmo facility · fee schedule · outpatient	$75.44	$75.44	$75.44 – $75.44
2	Blue Cross Blue Shield comm blue cross ma indem facility · fee schedule · outpatient	$75.44	$75.44	$75.44 – $75.44
3	Blue Cross Blue Shield comm blue cross ma ppo facility · fee schedule · outpatient	$75.44	$75.44	$75.44 – $75.44
4	Medicare mcr traditional medicare professional · fee schedule · outpatient	$96.29	$96.29	$96.29 – $96.29
5	Medicare mcrmanaged medicare hmo professional · fee schedule · outpatient	$96.29	$96.29	$96.29 – $96.29
6	UnitedHealthcare mcrmanaged united vaccn professional · fee schedule · outpatient	$97.86	$97.86	$97.86 – $97.86
7	UnitedHealthcare mcrmanaged united vaccn bh professional · fee schedule · outpatient	$97.86	$97.86	$97.86 – $97.86
8	Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo professional · fee schedule · outpatient	$101.11	$101.11	$101.11 – $101.11
9	UnitedHealthcare comm united bh facility · percent of total billed charges · inpatientfrom % of charges	$108.47	$133.49	$44.85 – $272.16
10	Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · inpatientfrom % of charges	$120.15	$147.86	$49.68 – $301.47
11	Aetna comm aetna facility · percent of total billed charges · inpatientfrom % of charges	$123.49	$151.97	$51.06 – $309.85
12	Blue Cross Blue Shield comm blue cross ma hmo facility · percent of total billed charges · outpatientfrom % of charges	$152.85	$152.85	$79.76 – $225.94
13	Blue Cross Blue Shield comm blue cross ma ppo facility · percent of total billed charges · outpatientfrom % of charges	$160.93	$160.93	$83.98 – $237.87
14	UnitedHealthcare comm united bh facility · percent of total billed charges · outpatientfrom % of charges	$120.85	$163.03	$96.08 – $272.16
15	UnitedHealthcare comm united bh professional · fee schedule · outpatient	$120.85	$163.03	$96.08 – $272.16
16	Blue Cross Blue Shield comm blue cross ma indem facility · percent of total billed charges · outpatientfrom % of charges	$164.21	$164.21	$85.69 – $242.73
17	UnitedHealthcare comm unitedhealthcare facility · percent of total billed charges · inpatientfrom % of charges	$143.51	$176.61	$59.34 – $360.09
18	Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · outpatientfrom % of charges	$133.86	$180.59	$106.43 – $301.47
19	Aetna comm aetna facility · percent of total billed charges · outpatientfrom % of charges	$137.58	$185.61	$109.39 – $309.85
20	First Health comm first health facility · percent of total billed charges · inpatientfrom % of charges	$158.53	$195.09	$65.55 – $397.77
21	Phcs comm phcs facility · percent of total billed charges · inpatientfrom % of charges	$158.53	$195.09	$65.55 – $397.77
22	Medicaid mcd masshealth facility · fee schedule · outpatient	$203.51	$203.51	$203.51 – $203.51
23	Medicaid mcdmanaged medicaid acos facility · fee schedule · outpatient	$203.51	$203.51	$203.51 – $203.51
24	Blue Cross Blue Shield comm blue cross vt ppo professional · fee schedule · outpatient	$158.03	$213.19	$125.65 – $355.90
25	UnitedHealthcare comm unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges	$159.89	$215.70	$127.13 – $360.09

Page 1 of 2 · 33 rates

Last updated: Oct 9, 2026

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