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 OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN
Plattsburgh, NY
See all hospitals reporting CPT 99215 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $183 is 13% below the median hospital's median price ($210), higher than 42% 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: 7 payers, 32 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $123.20 | $123.20 | $123.20 – $123.20 |
| 2 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $127.37 | $127.37 | $127.37 – $127.37 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $134.83 | $134.83 | $134.83 – $134.83 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $134.83 | $134.83 | $134.83 – $134.83 |
| 5 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $134.83 | $134.83 | $134.83 – $134.83 |
| 6 | Excellus medicare advantage professional · fee schedule · both | $134.83 | $134.83 | $134.83 – $134.83 |
| 7 | Humana tricare professional · fee schedule · both | $134.83 | $134.83 | $134.83 – $134.83 |
| 8 | Excellus managed medicaid/essential plans professional · fee schedule · both | $139.06 | $139.06 | $139.06 – $139.06 |
| 9 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $161.80 | $161.80 | $161.80 – $161.80 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $169.83 | $169.83 | $169.83 – $169.83 |
| 11 | Highmark ind/fep professional · fee schedule · both | $176.46 | $176.46 | $176.46 – $176.46 |
| 12 | Highmark ppo/hmo professional · fee schedule · both | $176.46 | $176.46 | $176.46 – $176.46 |
| 13 | Excellus commercial professional · fee schedule · both | $183.10 | $183.10 | $183.10 – $183.10 |
| 14 | Aetna commercial professional · fee schedule · both | $198.20 | $198.20 | $198.20 – $198.20 |
| 15 | Blue Cross Blue Shield individual network professional · fee schedule · both | $215.73 | $215.73 | $215.73 – $215.73 |
| 16 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $221.76 | $221.76 | $221.76 – $221.76 |
| 17 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $241.21 | $241.21 | $221.65 – $260.77 |
| 18 | Blue Cross Blue Shield blue access professional · fee schedule · both | $274.56 | $274.56 | $274.56 – $274.56 |
| 19 | Blue Cross Blue Shield hmo professional · fee schedule · both | $288.79 | $288.79 | $288.79 – $288.79 |
| 20 | Blue Cross Blue Shield ind professional · fee schedule · both | $288.79 | $288.79 | $288.79 – $288.79 |
| 21 | Blue Cross Blue Shield ppo professional · fee schedule · both | $288.79 | $288.79 | $288.79 – $288.79 |
| 22 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $375.76 | $375.76 | $375.76 – $375.76 |
| 23 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $394.24 | $394.24 | $394.24 – $394.24 |
| 24 | Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges | $394.24 | $394.24 | $394.24 – $394.24 |
| 25 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $394.24 | $394.24 | $394.24 – $394.24 |
Last updated: Apr 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.