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
CL VISIT ESTAB LEVEL 5 WPROC
Winston-Salem, NC
See all hospitals reporting CPT 99215 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $273 is 30% above the median hospital's median price ($210), higher than 65% 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: 11 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 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $74.81 | $74.81 | $74.43 – $75.19 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $74.81 | $74.81 | $74.43 – $75.19 |
| 3 | WellCare medicaid fee schedule · outpatient | $74.81 | $74.81 | $74.43 – $75.19 |
| 4 | Cigna aca fee schedule · outpatient | $152.86 | $152.86 | $152.09 – $153.63 |
| 5 | Caresource qualified health plan fee schedule · outpatient | $158.00 | $158.00 | $157.20 – $158.80 |
| 6 | Aetna medicare fee schedule · outpatient | $197.50 | $197.50 | $196.50 – $198.50 |
| 7 | Blue Cross Blue Shield blue home fee schedule · outpatient | $206.19 | $206.19 | $205.14 – $207.23 |
| 8 | Blue Cross Blue Shield blue value fee schedule · outpatient | $213.30 | $213.30 | $212.22 – $214.38 |
| 9 | Cigna commercial fee schedule · outpatient | $234.63 | $234.63 | $233.44 – $235.81 |
| 10 | Aetna commercial fee schedule · outpatient | $243.32 | $243.32 | $242.08 – $244.55 |
| 11 | UnitedHealthcare all payer fee schedule · outpatient | $265.83 | $265.83 | $264.48 – $267.18 |
| 12 | Blue Cross Blue Shield hmo fee schedule · outpatient | $271.36 | $271.36 | $269.99 – $272.73 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $271.36 | $271.36 | $269.99 – $272.73 |
| 14 | Humana commercial fee schedule · outpatient | $307.70 | $307.70 | $306.14 – $309.26 |
| 15 | Aetna aca fee schedule · outpatient | $316.00 | $316.00 | $314.40 – $317.60 |
| 16 | Aetna first health fee schedule · outpatient | $316.00 | $316.00 | $314.40 – $317.60 |
| 17 | Aetna non-par products of apcn fee schedule · outpatient | $316.00 | $316.00 | $314.40 – $317.60 |
| 18 | Aetna rental network products fee schedule · outpatient | $316.00 | $316.00 | $314.40 – $317.60 |
| 19 | Aetna whole health non-multitier fee schedule · outpatient | $316.00 | $316.00 | $314.40 – $317.60 |
| 20 | Medcost mbs fee schedule · outpatient | $335.75 | $335.75 | $334.05 – $337.45 |
| 21 | Beechstreet commercial fee schedule · outpatient | $355.50 | $355.50 | $353.70 – $357.30 |
| 22 | MultiPlan all plans fee schedule · outpatient | $355.50 | $355.50 | $353.70 – $357.30 |
| 23 | Phcs all plans fee schedule · outpatient | $355.50 | $355.50 | $353.70 – $357.30 |
| 24 | Medcost non-mbs fee schedule · outpatient | $371.30 | $371.30 | $369.42 – $373.18 |
Last updated: Mar 30, 2026
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.