Emergency department visit 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 Emergency Dept Visit High Severity&Threat Funcj

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 $2.7k is 202% above the median hospital's median price ($897), higher than 88% of the 2,561 hospitals reporting CPT 99285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99285 at Children's Hospital Medical Center

Negotiated rates from the hospital’s own file: 13 payers, 30 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	Caresource managed_care_medicaid_plan fee schedule · outpatient	$103.02	$103.02	$102.57 – $103.47
2	Anthem managed_care_medicaid_plan fee schedule · outpatient	$103.12	$103.12	$98.54 – $107.70
3	Humana managed_care_medicaid_plan fee schedule · outpatient	$107.70	$107.70	$107.70 – $107.70
4	UnitedHealthcare managed_care_medicaid_plan fee schedule · outpatient	$108.21	$108.21	$108.21 – $108.21
5	Amerihealth Caritas managed_care_medicaid_plan fee schedule · outpatient	$110.78	$110.78	$110.78 – $110.78
6	Molina managed_care_medicaid_plan fee schedule · outpatient	$112.83	$112.83	$112.83 – $112.83
7	Aetna Better Health managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$720.00	$720.00	$720.00 – $720.00
8	Humana managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$720.00	$720.00	$720.00 – $720.00
9	WellCare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$757.44	$757.44	$757.44 – $757.44
10	UnitedHealthcare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$760.32	$760.32	$760.32 – $760.32
11	Caresource all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$1,382	$1,382	$1,382 – $1,382
12	Caresource all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$1,382	$1,382	$1,382 – $1,382
13	Cigna all_commericial_plans percent of total billed charges · inpatientfrom % of charges	$1,382	$1,382	$1,382 – $1,382
14	Medical Mutual all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$1,786	$1,786	$1,786 – $1,786
15	Medical Mutual all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$1,786	$1,786	$1,786 – $1,786
16	UnitedHealthcare all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$2,580	$2,580	$2,580 – $2,580
17	UnitedHealthcare all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$2,580	$2,580	$2,580 – $2,580
18	Aetna all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
19	Aetna all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
20	Anthem non_traditional_plans percent of total billed charges · inpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
21	Anthem non_traditional_plans percent of total billed charges · outpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
22	Cigna all_commericial_plans percent of total billed charges · outpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
23	Medical Mutual all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
24	Medical Mutual all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$2,736	$2,736	$2,736 – $2,736
25	Beechstreet all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$2,822	$2,822	$2,822 – $2,822

Page 1 of 2 · 30 rates

Last updated: Apr 1, 2026

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