Outpatient office visit, established patient, level 5 at Fairview Health Services

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

PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN

Edina, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Health Services’s median price of $433 is 106% above the median hospital's median price ($210), higher than 86% 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 Health Services

Negotiated rates from the hospital’s own file: 9 payers, 53 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 managed medicaid/accessability 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 pmap 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 non-snp 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/medicare advantage snp fee schedule · both	$145.45	$145.45	$145.45 – $145.45
13	Bcbs Mn pmap fee schedule · outpatient	$257.17	$257.17	$257.17 – $257.17
14	UnitedHealthcare commercial fee schedule · both	$284.53	$284.53	$284.53 – $284.53
15	UnitedHealthcare core fee schedule · both	$284.53	$284.53	$284.53 – $284.53
16	Medica managed medicaid/accessability fee schedule · outpatient	$300.46	$300.46	$300.46 – $300.46
17	Medica msho/medicare advantage snp fee schedule · outpatient	$324.89	$324.89	$324.89 – $324.89
18	Ucare individual and family with m health fairview fee schedule · both	$350.70	$350.70	$350.70 – $350.70
19	Ucare individual and family percent of total billed charges · outpatientfrom % of charges	$367.63	$367.75	$367.42 – $368.33
20	Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges	$367.63	$367.75	$367.42 – $368.33
21	Ucare individual and family fee schedule · both	$369.43	$369.43	$369.43 – $369.43
22	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$401.75	$401.88	$401.52 – $402.51
23	Optum behavioral commercial fee schedule · both	$402.89	$402.89	$402.89 – $402.89
24	Sanford Health Plan commercial percent of total billed charges · bothfrom % of charges	$428.54	$425.74	$409.36 – $428.79
25	Sanford Health Plan commercial percent of total billed charges · inpatientfrom % of charges	$433.07	$433.22	$432.82 – $433.90

Page 1 of 3 · 53 rates

Last updated: Feb 6, 2026

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