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
HC ESTAB PAT OFFICE/OP VISIT LOW MDM 20-29 MIN
Boston, MA
See all hospitals reporting CPT 99213 →Price type
Boston Children's Hospital’s median price of $353 is 185% above the median hospital's median price ($124), higher than 95% 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: 8 payers, 15 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 | Optum comm outpatient fee schedule · both | $228.53 | $228.53 | $228.53 – $228.53 |
| 2 | UnitedHealthcare medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $277.52 | $277.52 | $277.52 – $277.52 |
| 3 | Aetna medicaid inpatient/outpatient percent of total billed charges · bothfrom % of charges | $278.40 | $278.40 | $278.40 – $278.40 |
| 4 | Optum medicaid/medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $301.60 | $301.60 | $301.60 – $301.60 |
| 5 | Blue Cross Blue Shield indem outpatient percent of total billed charges · bothfrom % of charges | $306.33 | $306.33 | $306.33 – $306.33 |
| 6 | Optum comm chd onc outpatient percent of total billed charges · bothfrom % of charges | $385.12 | $385.12 | $385.12 – $385.12 |
| 7 | UnitedHealthcare comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $387.67 | $387.67 | $387.67 – $387.67 |
| 8 | Aetna comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $388.97 | $388.97 | $388.97 – $388.97 |
| 9 | Optum comm outpatient percent of total billed charges · bothfrom % of charges | $394.40 | $394.40 | $394.40 – $394.40 |
| 10 | Cigna all products outpatient percent of total billed charges · bothfrom % of charges | $406.56 | $406.56 | $394.40 – $418.71 |
| 11 | Humana all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $417.60 | $417.60 | $417.60 – $417.60 |
| 12 | First Health all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $426.88 | $426.88 | $426.88 – $426.88 |
| 13 | MultiPlan phcs clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $426.88 | $426.88 | $426.88 – $426.88 |
| 14 | MultiPlan multiplan clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $440.80 | $440.80 | $440.80 – $440.80 |
| 15 | Cigna all products outpatient fee schedule · both | $464.00 | $464.00 | $464.00 – $464.00 |
Last updated: Apr 1, 2026
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