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 HI 40 MIN
Rome, GA
See all hospitals reporting CPT 99215 →Price type
Floyd Healthcare Management Inc’s median price of $169 is 20% below the median hospital's median price ($210), higher than 36% 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: 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 | $167.33 | $167.33 | $167.33 – $167.33 |
| 2 | Caresource medicare advantage case rate · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 3 | Cigna medicare advantage case rate · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 4 | Humana medicare advantage case rate · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 6 | Aetna medicare advantage case rate · outpatient | $169.01 | $169.01 | $169.01 – $169.01 |
| 7 | WellCare medicare advantage case rate · outpatient | $170.68 | $170.68 | $170.68 – $170.68 |
| 8 | Clover medicare advantage case rate · outpatient | $172.35 | $172.35 | $172.35 – $172.35 |
| 9 | Ambetter marketplace exchange case rate · outpatient | $251.00 | $251.00 | $251.00 – $251.00 |
| 10 | Caresource marketplace exchange case rate · outpatient | $251.00 | $251.00 | $251.00 – $251.00 |
Last updated: Nov 19, 2025
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.