Outpatient office visit, established patient, level 5 at Fairview Bethesda Hospital

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 OUTPT VISIT,EST PATIENT, LEVEL 5

St. Paul, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Bethesda Hospital’s median price of $441 is 109% above the median hospital's median price ($210), higher than 87% 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 Fairview Bethesda Hospital

Negotiated rates from the hospital’s own file: 9 payers, 57 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	Ucare pmap fee schedule · both	$101.40	$101.40	$101.40 – $101.40
2	Medica minnesota care/accessability/choice care government fee schedule · both	$107.56	$107.56	$107.56 – $107.56
3	Optum behavioral medicare fee schedule · both	$110.50	$110.50	$110.50 – $110.50
4	Bcbs Mn managed medicaid fee schedule · both	$115.09	$115.09	$115.09 – $115.09
5	Sanford Health Plan medicare advantage fee schedule · both	$132.89	$132.89	$132.89 – $132.89
6	UnitedHealthcare medicare advantage fee schedule · both	$132.89	$132.89	$132.89 – $132.89
7	WellCare medicare advantage fee schedule · both	$132.89	$132.89	$132.89 – $132.89
8	Optum behavioral medicaid fee schedule · both	$137.98	$137.98	$137.98 – $137.98
9	Bcbs Mn medicare advantage fee schedule · both	$138.21	$138.21	$138.21 – $138.21
10	Medica medicare advantage fee schedule · both	$142.76	$142.76	$142.76 – $142.76
11	Ucare medicare advantage/msho fee schedule · both	$143.52	$143.52	$143.52 – $143.52
12	Medica msho fee schedule · both	$145.45	$145.45	$145.45 – $145.45
13	Bcbs Mn managed medicaid percent of total billed charges · inpatientfrom % of charges	$196.61	$196.68	$196.50 – $196.98
14	Bcbs Mn managed medicaid percent of total billed charges · outpatientfrom % of charges	$202.57	$202.63	$202.45 – $202.95
15	Medica minnesota care/accessability/choice care government percent of total billed charges · outpatientfrom % of charges	$260.29	$260.37	$260.13 – $260.78
16	Medica minnesota care/accessability/choice care government percent of total billed charges · inpatientfrom % of charges	$261.76	$261.84	$261.60 – $262.25
17	UnitedHealthcare commercial fee schedule · both	$284.53	$284.53	$284.53 – $284.53
18	UnitedHealthcare core fee schedule · both	$284.53	$284.53	$284.53 – $284.53
19	Medica msho percent of total billed charges · inpatientfrom % of charges	$295.58	$295.68	$295.41 – $296.14
20	Ucare pmap percent of total billed charges · inpatientfrom % of charges	$307.78	$307.88	$307.60 – $308.37
21	Medica msho percent of total billed charges · outpatientfrom % of charges	$317.64	$317.74	$317.45 – $318.24
22	Ucare individual and family with m health fairview fee schedule · both	$350.70	$350.70	$350.70 – $350.70
23	Ucare individual and family percent of total billed charges · outpatientfrom % of charges	$367.63	$367.75	$367.42 – $368.33
24	Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges	$367.63	$367.75	$367.42 – $368.33
25	Ucare individual and family fee schedule · both	$369.43	$369.43	$369.43 – $369.43

Page 1 of 3 · 57 rates

Last updated: Jan 29, 2026

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