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
99213 - OP Est Low MDM or 20 min
Washington, DC
See all hospitals reporting CPT 99213 →Price type
Children's National Hospital’s median price of $75 is 39% below the median hospital's median price ($124), higher than 20% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Carefirst hmo professional · fee schedule · both | $40.95 | $40.95 | $40.95 – $40.95 |
| 2 | Carefirst rpn professional · fee schedule · both | $43.11 | $43.11 | $43.11 – $43.11 |
| 3 | Anthem medicaid professional · fee schedule · both | $48.68 | $48.68 | $48.68 – $48.68 |
| 4 | Kaiser managed medicaid professional · fee schedule · both | $52.50 | $52.50 | $52.50 – $52.50 |
| 5 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $59.66 | $59.66 | $59.66 – $59.66 |
| 6 | Molina managed medicaid (medallion) professional · fee schedule · both | $59.66 | $59.66 | $59.66 – $59.66 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $62.20 | $62.20 | $49.16 – $75.23 |
| 8 | Aetna Better Health managed medicaid professional · fee schedule · both | $63.27 | $63.27 | $54.89 – $71.65 |
| 9 | Aetna commercial professional · fee schedule · both | $75.42 | $75.42 | $75.42 – $75.42 |
| 10 | Carefirst managed medicaid professional · fee schedule · both | $85.98 | $85.98 | $85.98 – $85.98 |
| 11 | Anthem hmx professional · fee schedule · both | $97.09 | $97.09 | $97.09 – $97.09 |
| 12 | UnitedHealthcare all payer facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 13 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 14 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 15 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 16 | Anthem hmo facility · fee schedule · outpatient | $100.28 | $100.28 | $100.28 – $100.28 |
| 17 | Anthem hmx facility · fee schedule · outpatient | $100.28 | $100.28 | $100.28 – $100.28 |
| 18 | Anthem ppo/par facility · fee schedule · outpatient | $100.28 | $100.28 | $100.28 – $100.28 |
| 19 | Anthem hmo professional · fee schedule · both | $105.71 | $105.71 | $105.71 – $105.71 |
| 20 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $114.50 | $114.50 | $114.50 – $114.50 |
| 21 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $114.50 | $114.50 | $114.50 – $114.50 |
| 22 | Anthem ppo/par professional · fee schedule · both | $132.25 | $132.25 | $132.25 – $132.25 |
| 23 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $137.40 | $137.40 | $137.40 – $137.40 |
Last updated: Apr 2, 2026
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