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
PR HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES
Boulder, CO
See all hospitals reporting CPT 99342 →Price type
Boulder Community Health’s median price of $114 is 23% above the median hospital's median price ($92), higher than 63% of the 923 hospitals reporting CPT 99342. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 | Healthpartners managed medicaid professional · fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 2 | Aetna medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Aetna medicare advantage professional · case rate · both | $80 | $80 | — | — | — | $80 – $80 |
| 4 | Anthem medicare advantage facility · case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Devoted medicare advantage professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Humana medicare advantage professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $82 | $82 | $0 | 0% | — | $82 – $83 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Anthem managed care facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 14 | Kaiser medicare advantage professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Anthem commercial professional · fee schedule · both | $96 | $105 | $15 | 14% | — | $96 – $129 |
| 16 | Anthem commercial facility · fee schedule · outpatient | $88 | $111 | $54 | 49% | — | $77 – $231 |
| 17 | Cigna commercial facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 18 | Cigna commercial professional · fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 19 | MultiPlan commercial professional · fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 20 | Phcs commercial professional · fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $127 | $127 | — | — | — | $127 – $127 |
| 22 | Kaiser commercial professional · fee schedule · both | $127 | $127 | — | — | — | $127 – $127 |
| 23 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 24 | Anthem managed care professional · fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 25 | Aetna commercial professional · fee schedule · both | $151 | $151 | — | — | — | $151 – $151 |
Last updated: Sep 16, 2026
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