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
ESTABLISHED PATIENT LEVEL 5
Caldwell, TX
See all hospitals reporting CPT 99215 →Price type
Burleson St. Joseph Health Center Of Caldwell, Texas’s median price of $220 is 4% above the median hospital's median price ($210), higher than 52% 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: 9 payers, 27 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 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $77.00 | $77.00 | $77.00 – $77.00 |
| 2 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $113.30 | $105.49 | $52.58 – $142.78 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $115.57 | $107.61 | $53.64 – $145.64 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $128.75 | $119.88 | $59.75 – $162.25 |
| 5 | Ambetter commercial|all plans fee schedule · outpatient | $164.29 | $152.97 | $76.25 – $207.04 |
| 6 | UnitedHealthcare medicaid|all other plans fee schedule · outpatient | $166.23 | $166.23 | $147.09 – $185.36 |
| 7 | UnitedHealthcare medicaid|starkids fee schedule · outpatient | $166.23 | $166.23 | $147.09 – $185.36 |
| 8 | Blue Cross Blue Shield medicaid|starkids fee schedule · outpatient | $171.11 | $171.11 | $151.41 – $190.81 |
| 9 | Blue Cross Blue Shield commercial|blue advantage hmo fee schedule · outpatient | $224.47 | $224.47 | $224.47 – $224.47 |
| 10 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $263.95 | $257.71 | $239.00 – $263.95 |
| 11 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $279.74 | $269.56 | $239.00 – $279.74 |
| 12 | First Health commercial|all plans fee schedule · inpatient | $309.00 | $280.60 | $143.40 – $389.40 |
| 13 | Cigna commercial|local plus fee schedule · outpatient | $285.18 | $285.18 | $252.35 – $318.01 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $309.00 | $287.70 | $143.40 – $389.40 |
| 15 | Humana commercial|all plans fee schedule · outpatient | $314.15 | $292.50 | $145.79 – $395.89 |
| 16 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $311.33 | $293.25 | $239.00 – $311.33 |
| 17 | Aetna commercial|all plans fee schedule · inpatient | $329.60 | $299.31 | $152.96 – $415.36 |
| 18 | Cigna commercial|all other plans fee schedule · inpatient | $329.60 | $299.31 | $152.96 – $415.36 |
| 19 | Aetna commercial|all plans fee schedule · outpatient | $329.60 | $306.88 | $152.96 – $415.36 |
| 20 | Cigna commercial|all other plans fee schedule · outpatient | $329.60 | $306.88 | $152.96 – $415.36 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $393.98 | $365.28 | $186.42 – $486.75 |
| 22 | UnitedHealthcare medicaid|starplus fee schedule · outpatient | $387.85 | $387.85 | $343.20 – $432.50 |
| 23 | Phcs commercial|all plans fee schedule · inpatient | $437.75 | $397.52 | $203.15 – $551.65 |
| 24 | Phcs commercial|all plans fee schedule · outpatient | $437.75 | $407.58 | $203.15 – $551.65 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $463.50 | $420.90 | $215.10 – $584.10 |
Last updated: Feb 28, 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.