Outpatient new patient office visit, high complexity at Enumclaw Regional Hospital Association

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

HC VISIT NEW PT LEVEL 5

Enumclaw, WA

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Pricing by billing methodology

Price type

How this price compares nationally

Enumclaw Regional Hospital Association’s median price of $164 is 36% below the median hospital's median price ($257), higher than 18% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at Enumclaw Regional Hospital Association

Negotiated rates from the hospital’s own file: 10 payers, 24 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	UnitedHealthcare commercial\|cascade care fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
2	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
3	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
4	Cigna commercial\|all plans case rate · outpatient	$87	$87	—	—	—	$87 – $87
5	Kaiser medicare\|all plans fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
6	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
7	Molina medicaid\|all plans fee schedule · outpatient	$143	$143	—	—	—	$143 – $143
8	Optum medicare\|all plans fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
9	Premera medicare\|all plans fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
10	Regence medicare\|all plans fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
11	Humana medicare\|all plans fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
12	Molina medicare\|all plans fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
13	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
14	Aetna medicare\|all plans fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
15	UnitedHealthcare medicaid\|all plans fee schedule · inpatient	$235	$235	—	—	—	$235 – $235
16	Molina medicaid\|all plans fee schedule · inpatient	$236	$236	—	—	—	$236 – $236
17	Molina commercial\|marketplace exchange fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
18	Aetna commercial\|awh fee schedule · inpatient	$316	$316	—	—	—	$316 – $316
19	Aetna commercial\|all other plans fee schedule · inpatient	$380	$380	—	—	—	$380 – $380
20	Aetna commercial\|rental fee schedule · inpatient	$570	$570	—	—	—	$570 – $570
21	Aetna commercial\|rental fee schedule · outpatient	$570	$570	—	—	—	$570 – $570
22	MultiPlan commercial\|all plans fee schedule · inpatient	$712	$712	—	—	—	$712 – $712
23	MultiPlan commercial\|all plans fee schedule · outpatient	$712	$712	—	—	—	$712 – $712
24	Aetna commercial\|wea fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Feb 28, 2026

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See Outpatient new patient office visit, high complexity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.