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
99215 - OP Est High MDM or 40 min
Washington, DC
See all hospitals reporting CPT 99215 →Price type
Children's National Hospital’s median price of $156 is 26% below the median hospital's median price ($210), higher than 30% 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: 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 | $88.52 | $88.52 | $88.52 – $88.52 |
| 2 | Carefirst rpn professional · fee schedule · both | $93.18 | $93.18 | $93.18 – $93.18 |
| 3 | UnitedHealthcare all payer facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 4 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 5 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 6 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 7 | Anthem medicaid professional · fee schedule · both | $106.02 | $106.02 | $106.02 – $106.02 |
| 8 | Kaiser managed medicaid professional · fee schedule · both | $114.33 | $114.33 | $114.33 – $114.33 |
| 9 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $129.93 | $129.93 | $129.93 – $129.93 |
| 10 | Molina managed medicaid (medallion) professional · fee schedule · both | $129.93 | $129.93 | $129.93 – $129.93 |
| 11 | UnitedHealthcare managed medicaid professional · fee schedule · both | $135.53 | $135.53 | $107.06 – $164.00 |
| 12 | Aetna Better Health managed medicaid professional · fee schedule · both | $137.86 | $137.86 | $119.53 – $156.19 |
| 13 | Aetna commercial professional · fee schedule · both | $164.57 | $164.57 | $164.57 – $164.57 |
| 14 | Carefirst managed medicaid professional · fee schedule · both | $187.43 | $187.43 | $187.43 – $187.43 |
| 15 | Anthem hmo facility · fee schedule · outpatient | $196.97 | $196.97 | $196.97 – $196.97 |
| 16 | Anthem hmx facility · fee schedule · outpatient | $196.97 | $196.97 | $196.97 – $196.97 |
| 17 | Anthem ppo/par facility · fee schedule · outpatient | $196.97 | $196.97 | $196.97 – $196.97 |
| 18 | Anthem hmx professional · fee schedule · both | $211.60 | $211.60 | $211.60 – $211.60 |
| 19 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $225.00 | $225.00 | $225.00 – $225.00 |
| 20 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $225.00 | $225.00 | $225.00 – $225.00 |
| 21 | Anthem hmo professional · fee schedule · both | $230.40 | $230.40 | $230.40 – $230.40 |
| 22 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $270.00 | $270.00 | $270.00 – $270.00 |
| 23 | Anthem ppo/par professional · fee schedule · both | $288.25 | $288.25 | $288.25 – $288.25 |
Last updated: Apr 2, 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.