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
OFFICE O/P EST LOW 20 MIN
Rome, GA
See all hospitals reporting CPT 99213 →Price type
Floyd Healthcare Management Inc’s median price of $85 is 31% below the median hospital's median price ($124), higher than 26% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 10 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 | Anthem medicare advantage case rate · outpatient | $84.25 | $84.25 | $84.25 – $84.25 |
| 2 | Caresource medicare advantage case rate · outpatient | $84.25 | $84.25 | $84.25 – $84.25 |
| 3 | Cigna medicare advantage case rate · outpatient | $84.25 | $84.25 | $84.25 – $84.25 |
| 4 | Humana medicare advantage case rate · outpatient | $84.25 | $84.25 | $84.25 – $84.25 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $84.25 | $84.25 | $84.25 – $84.25 |
| 6 | Aetna medicare advantage case rate · outpatient | $85.09 | $85.09 | $85.09 – $85.09 |
| 7 | WellCare medicare advantage case rate · outpatient | $85.93 | $85.93 | $85.93 – $85.93 |
| 8 | Clover medicare advantage case rate · outpatient | $86.78 | $86.78 | $86.78 – $86.78 |
| 9 | Ambetter marketplace exchange case rate · outpatient | $126.37 | $126.37 | $126.37 – $126.37 |
| 10 | Caresource marketplace exchange case rate · outpatient | $126.37 | $126.37 | $126.37 – $126.37 |
Last updated: Nov 19, 2025
See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.