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 HIGH MDM 40-54 MIN
Brookline, MA
See all hospitals reporting CPT 99215 →Price type
Boston Children's Hospital’s median price of $808 is 284% above the median hospital's median price ($210), higher than 97% 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, 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 | $432.03 | $432.03 | $432.03 – $432.03 |
| 2 | UnitedHealthcare medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $635.78 | $635.78 | $635.78 – $635.78 |
| 3 | Aetna medicaid inpatient/outpatient percent of total billed charges · bothfrom % of charges | $637.80 | $637.80 | $637.80 – $637.80 |
| 4 | Optum medicaid/medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $690.95 | $690.95 | $690.95 – $690.95 |
| 5 | Blue Cross Blue Shield indem outpatient percent of total billed charges · bothfrom % of charges | $701.79 | $701.79 | $701.79 – $701.79 |
| 6 | Optum comm chd onc outpatient percent of total billed charges · bothfrom % of charges | $882.29 | $882.29 | $882.29 – $882.29 |
| 7 | UnitedHealthcare comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $888.14 | $888.14 | $888.14 – $888.14 |
| 8 | Aetna comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $891.11 | $891.11 | $891.11 – $891.11 |
| 9 | Optum comm outpatient percent of total billed charges · bothfrom % of charges | $903.55 | $903.55 | $903.55 – $903.55 |
| 10 | Cigna all products outpatient percent of total billed charges · bothfrom % of charges | $931.40 | $931.40 | $903.55 – $959.25 |
| 11 | Humana all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $956.70 | $956.70 | $956.70 – $956.70 |
| 12 | First Health all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $977.96 | $977.96 | $977.96 – $977.96 |
| 13 | MultiPlan phcs clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $977.96 | $977.96 | $977.96 – $977.96 |
| 14 | MultiPlan multiplan clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $1,010 | $1,010 | $1,010 – $1,010 |
| 15 | Cigna all products outpatient fee schedule · both | $1,063 | $1,063 | $1,063 – $1,063 |
Last updated: Apr 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.