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
PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN
Marion, IL
See all hospitals reporting CPT 99215 →Price type
Deaconess Regional Healthcare Services Illinois Inc’s median price of $166 is 21% below the median hospital's median price ($210), higher than 35% 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: 10 payers, 29 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 Il managed medicaid professional · fee schedule · both | $97.69 | $97.69 | $97.69 – $97.69 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $97.69 | $97.69 | $97.69 – $97.69 |
| 3 | Molina managed medicaid professional · fee schedule · both | $98.67 | $98.67 | $98.67 – $98.67 |
| 4 | Aetna Better Health managed medicaid professional · fee schedule · both | $102.57 | $102.57 | $102.57 – $102.57 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $135.18 | $135.18 | $135.18 – $135.18 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $135.18 | $135.18 | $135.18 – $135.18 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $135.18 | $135.18 | $135.18 – $135.18 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $135.18 | $135.18 | $135.18 – $135.18 |
| 9 | WellCare mmai professional · fee schedule · both | $135.18 | $135.18 | $135.18 – $135.18 |
| 10 | Molina mmai professional · fee schedule · both | $136.53 | $136.53 | $136.53 – $136.53 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $139.24 | $139.24 | $139.24 – $139.24 |
| 12 | Humana medicare advantage professional · fee schedule · both | $141.94 | $141.94 | $141.94 – $141.94 |
| 13 | Humana mmai professional · fee schedule · both | $141.94 | $141.94 | $141.94 – $141.94 |
| 14 | Bcbs Il ppo professional · fee schedule · both | $151.22 | $151.22 | $151.22 – $151.22 |
| 15 | Aetna medicare advantage facility · case rate · outpatient | $166.04 | $166.04 | $166.04 – $166.04 |
| 16 | Bcbs Il medicare advantage facility · case rate · outpatient | $166.04 | $166.04 | $166.04 – $166.04 |
| 17 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $166.04 | $166.04 | $166.04 – $166.04 |
| 18 | WellCare mmai facility · case rate · outpatient | $166.04 | $166.04 | $166.04 – $166.04 |
| 19 | Molina mmai facility · case rate · outpatient | $167.70 | $167.70 | $167.70 – $167.70 |
| 20 | Aetna Better Health medicare mmp facility · case rate · outpatient | $169.36 | $169.36 | $169.36 – $169.36 |
| 21 | WellCare medicare advantage facility · case rate · outpatient | $171.02 | $171.02 | $171.02 – $171.02 |
| 22 | Humana medicare advantage facility · case rate · outpatient | $174.34 | $174.34 | $174.34 – $174.34 |
| 23 | Humana mmai facility · case rate · outpatient | $174.34 | $174.34 | $174.34 – $174.34 |
| 24 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $181.49 | $181.49 | $181.49 – $181.49 |
| 25 | UnitedHealthcare commercial professional · percent of total billed charges · bothfrom % of charges | $202.74 | $202.74 | $202.74 – $202.74 |
Last updated: Feb 3, 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.