Outpatient office visit, established patient, level 5 at Children's Hospital 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

Hb Est High Mdm 40-54 Min

Cincinnati, OH

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Pricing by billing methodology

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How this price compares nationally

Children's Hospital Medical Center’s median price of $191 is 9% below the median hospital's median price ($210), higher than 45% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Children's Hospital Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 17 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	Aetna Better Health managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$61.25	$61.25	$61.25 – $61.25
2	Humana managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$61.25	$61.25	$61.25 – $61.25
3	WellCare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$64.44	$64.44	$64.44 – $64.44
4	UnitedHealthcare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$64.68	$64.68	$64.68 – $64.68
5	Caresource managed_care_medicaid_plan fee schedule · outpatient	$79.13	$79.13	$55.69 – $102.57
6	Anthem managed_care_medicaid_plan fee schedule · outpatient	$80.37	$80.37	$53.04 – $107.70
7	Humana managed_care_medicaid_plan fee schedule · outpatient	$107.70	$107.70	$107.70 – $107.70
8	UnitedHealthcare managed_care_medicaid_plan fee schedule · outpatient	$108.21	$108.21	$108.21 – $108.21
9	Amerihealth Caritas managed_care_medicaid_plan fee schedule · outpatient	$110.78	$110.78	$110.78 – $110.78
10	Molina managed_care_medicaid_plan fee schedule · outpatient	$112.83	$112.83	$112.83 – $112.83
11	Caresource all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$117.60	$117.60	$117.60 – $117.60
12	Caresource all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$117.60	$117.60	$117.60 – $117.60
13	Aetna Better Health managed_care_medicaid_plan fee schedule · outpatient	$170.10	$170.10	$170.10 – $170.10
14	Beechstreet all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$240.10	$240.10	$240.10 – $240.10
15	Beechstreet all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$240.10	$240.10	$240.10 – $240.10
16	First Health all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$240.10	$240.10	$240.10 – $240.10
17	First Health all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$240.10	$240.10	$240.10 – $240.10

Last updated: Apr 1, 2026

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