Critical care, first hour of physician time at Carolinas Medical Center

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 ER CRITICAL CARE, E/M 30-74 MINUTES

Charlotte, NC

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How this price compares nationally

Carolinas Medical Center’s median price of $2.3k is 90% above the median hospital's median price ($1.2k), higher than 74% 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 Carolinas Medical Center

Negotiated rates from the hospital’s own file: 15 payers, 61 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	Molina managed medicaid case rate · outpatient	$75.38	$75.38	$75.38 – $75.38
2	Cigna Healthspring medicare advantage fee schedule · both	$197.56	$197.56	$197.56 – $197.56
3	Humana medicare advantage fee schedule · both	$201.51	$201.51	$201.51 – $201.51
4	Aetna medicare advantage fee schedule · both	$204.47	$204.47	$204.47 – $204.47
5	UnitedHealthcare medicare advantage case rate · both	$205.04	$205.04	$205.04 – $205.04
6	Amerihealth Caritas managed medicaid fee schedule · both	$221.29	$221.29	$221.29 – $221.29
7	UnitedHealthcare managed medicaid fee schedule · both	$221.29	$221.29	$221.29 – $221.29
8	WellCare managed medicaid fee schedule · both	$221.29	$221.29	$221.29 – $221.29
9	UnitedHealthcare iex commercial fee schedule · both	$333.19	$333.19	$333.19 – $333.19
10	Bcbs Nc local group commercial fee schedule · both	$364.00	$364.00	$364.00 – $364.00
11	Bcbs Nc local individual commercial fee schedule · both	$384.64	$384.64	$384.64 – $384.64
12	UnitedHealthcare hmo-ppo managed care fee schedule · both	$433.46	$433.46	$433.46 – $433.46
13	Medcost ppo fee schedule · both	$465.58	$465.58	$465.58 – $465.58
14	Medcost ultra fee schedule · both	$465.58	$465.58	$465.58 – $465.58
15	Bcbs Nc hmo-ppo managed care fee schedule · both	$478.94	$478.94	$478.94 – $478.94
16	Aetna whole health hmo fee schedule · both	$493.87	$493.87	$493.87 – $493.87
17	Aetna north carolina preferred plus commercial fee schedule · both	$518.99	$518.99	$518.99 – $518.99
18	Aetna broad network fee schedule · both	$573.33	$573.33	$573.33 – $573.33
19	Humana medicare advantage fee schedule · outpatient	$817.43	$817.43	$817.43 – $817.43
20	Aetna medicare advantage fee schedule · outpatient	$829.46	$829.46	$829.46 – $829.46
21	Cigna Healthspring medicare advantage fee schedule · outpatient	$841.48	$841.48	$841.48 – $841.48
22	UnitedHealthcare medicare advantage fee schedule · outpatient	$843.96	$843.96	$843.96 – $843.96
23	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$1,225	$1,225	$1,225 – $1,225
24	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$1,248	$1,248	$1,248 – $1,248
25	Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges	$1,489	$1,489	$1,489 – $1,489

Page 1 of 3 · 61 rates

Last updated: Dec 4, 2025

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