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
OP VISIT LEVEL 3 EST
Spruce Pine, NC
See all hospitals reporting CPT 99213 →Price type
Blue Ridge Regional Hospital’s median price of $181 is 46% above the median hospital's median price ($124), higher than 72% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 24 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 mcr percent of total billed charges · outpatientfrom % of charges | $69.79 | $69.79 | $69.79 – $69.79 |
| 2 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $73.19 | $73.19 | $73.19 – $73.19 |
| 3 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $74.28 | $74.28 | $74.28 – $74.28 |
| 4 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $75.37 | $75.37 | $75.37 – $75.37 |
| 5 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $87.24 | $87.24 | $87.24 – $87.24 |
| 6 | Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges | $161.39 | $161.39 | $161.39 – $161.39 |
| 7 | Aetna ahw percent of total billed charges · outpatientfrom % of charges | $162.70 | $162.70 | $162.70 – $162.70 |
| 8 | Aetna connect percent of total billed charges · outpatientfrom % of charges | $162.70 | $162.70 | $162.70 – $162.70 |
| 9 | Aetna simplepay percent of total billed charges · outpatientfrom % of charges | $162.70 | $162.70 | $162.70 – $162.70 |
| 10 | Aetna aetnapreferred percent of total billed charges · outpatientfrom % of charges | $174.47 | $174.47 | $174.47 – $174.47 |
| 11 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $175.78 | $175.78 | $175.78 – $175.78 |
| 12 | Blue Cross Blue Shield blueselect percent of total billed charges · outpatientfrom % of charges | $180.62 | $180.62 | $180.62 – $180.62 |
| 13 | Blue Cross Blue Shield bluevalue percent of total billed charges · outpatientfrom % of charges | $180.62 | $180.62 | $180.62 – $180.62 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $180.62 | $180.62 | $180.62 – $180.62 |
| 15 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $180.62 | $180.62 | $180.62 – $180.62 |
| 16 | Caresource hix percent of total billed charges · outpatientfrom % of charges | $191.92 | $191.92 | $191.92 – $191.92 |
| 17 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $196.28 | $196.28 | $196.28 – $196.28 |
| 18 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $198.46 | $198.46 | $198.46 – $198.46 |
| 19 | Medcost signaturenetwork percent of total billed charges · outpatientfrom % of charges | $203.26 | $203.26 | $203.26 – $203.26 |
| 20 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $206.31 | $206.31 | $206.31 – $206.31 |
| 21 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $212.29 | $212.29 | $212.29 – $212.29 |
| 22 | Medcost standard percent of total billed charges · outpatientfrom % of charges | $221.23 | $221.23 | $221.23 – $221.23 |
| 23 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $306.63 | $306.63 | $306.63 – $306.63 |
| 24 | MultiPlan comm percent of total billed charges · outpatientfrom % of charges | $348.94 | $348.94 | $348.94 – $348.94 |
Last updated: Sep 1, 2026
See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.