Critical care, first hour of physician time at Caldwell Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC ED CRITICAL CARE 1ST 30-74 MIN

Lenoir, NC

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Pricing by billing methodology

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How this price compares nationally

Caldwell Memorial Hospital’s median price of $762 is 36% below the median hospital's median price ($1.2k), higher than 17% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Caldwell Memorial Hospital

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	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$280.80	$280.80	$280.80 – $280.80
2	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$280.80	$280.80	$280.80 – $280.80
3	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$280.80	$280.80	$280.80 – $280.80
4	Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges	$357.93	$357.93	$357.93 – $357.93
5	Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges	$416.96	$416.96	$416.96 – $416.96
6	Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$504.78	$504.78	$504.78 – $504.78
7	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$587.65	$587.65	$587.65 – $587.65
8	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$690.59	$690.59	$690.59 – $690.59
9	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$758.35	$758.35	$758.35 – $758.35
10	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$764.66	$764.66	$764.66 – $764.66
11	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$768.77	$768.77	$768.77 – $768.77
12	Optum vaccn facility · fee schedule · outpatient	$788.31	$788.31	$788.31 – $788.31
13	Optum vaccn behavioral health facility · fee schedule · outpatient	$788.31	$788.31	$788.31 – $788.31
14	Humana medicare hmo facility · fee schedule · outpatient	$819.84	$819.84	$819.84 – $819.84
15	Humana medicare ppo facility · fee schedule · outpatient	$819.84	$819.84	$819.84 – $819.84
16	Cigna medicare advantage facility · fee schedule · outpatient	$827.73	$827.73	$827.73 – $827.73
17	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$827.73	$827.73	$827.73 – $827.73
18	Aetna medicare advantage facility · fee schedule · outpatient	$835.61	$835.61	$835.61 – $835.61
19	Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges	$857.37	$857.37	$857.37 – $857.37
20	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,042	$1,042	$1,042 – $1,042
21	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,042	$1,042	$1,042 – $1,042
22	UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$1,066	$1,066	$1,066 – $1,066
23	UnitedHealthcare commercial facility · case rate · outpatient	$3,748	$3,748	$3,748 – $3,748
24	Cigna commercial facility · per diem · outpatient	$4,636	$4,636	$4,636 – $4,636

Last updated: Jun 4, 2026

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