Outpatient office visit, established patient, level 5 at Covenant Medical Center Inc

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

HCHG ESTABLISHED PT NINAN LEVEL 5

Saginaw, MI

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Pricing by billing methodology

Price type

How this price compares nationally

Covenant Medical Center Inc’s median price of $163 is 23% below the median hospital's median price ($210), higher than 33% 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 Covenant Medical Center Inc

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Bcbs Mi managed medicaid facility · case rate · outpatient	$84.03	$84.03	$71.14 – $96.91
2	Molina managed medicaid facility · case rate · outpatient	$84.03	$84.03	$71.14 – $96.91
3	Aetna commercial professional · fee schedule · both	$147.96	$147.96	$147.96 – $147.96
4	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$150.00	$150.00	$150.00 – $150.00
5	Anthem commercial facility · fee schedule · outpatient	$153.67	$153.67	$152.61 – $154.73
6	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$153.67	$153.67	$152.61 – $154.73
7	Aetna medicare advantage facility · case rate · outpatient	$160.66	$160.66	$136.02 – $185.30
8	Humana ppo medicare advantage facility · case rate · outpatient	$160.66	$160.66	$136.02 – $185.30
9	Molina medicare advantage facility · case rate · outpatient	$160.66	$160.66	$136.02 – $185.30
10	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$162.80	$162.80	$162.80 – $162.80
11	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$162.80	$162.80	$162.80 – $162.80
12	Anthem commercial professional · fee schedule · both	$168.70	$168.70	$168.70 – $168.70
13	Blue Cross Blue Shield commercial professional · fee schedule · both	$168.70	$168.70	$168.70 – $168.70
14	MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges	$180.00	$180.00	$180.00 – $180.00
15	Aetna medicare advantage professional · fee schedule · both	$185.30	$185.30	$185.30 – $185.30
16	Bcbs Mi managed medicaid professional · fee schedule · both	$185.30	$185.30	$185.30 – $185.30
17	Humana ppo medicare advantage professional · fee schedule · both	$185.30	$185.30	$185.30 – $185.30
18	Molina managed medicaid professional · fee schedule · both	$185.30	$185.30	$185.30 – $185.30
19	Molina medicare advantage professional · fee schedule · both	$185.30	$185.30	$185.30 – $185.30
20	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$217.56	$217.56	$217.56 – $217.56
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$217.56	$217.56	$217.56 – $217.56
22	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$222.00	$222.00	$222.00 – $222.00
23	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$222.00	$222.00	$222.00 – $222.00
24	MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges	$266.40	$266.40	$266.40 – $266.40
25	MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges	$266.40	$266.40	$266.40 – $266.40

Last updated: May 15, 2026

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