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
Pace OP Visit E&M of Established Patient; Level 3
CARMEL, IN
See all hospitals reporting CPT 99213 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL’s median price of $155 is 25% above the median hospital's median price ($124), higher than 63% 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: 8 payers, 15 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 anthem franciscan employee copps- all locations fee schedule · both | $55.10 | $55.10 | $55.10 – $55.10 |
| 2 | Medicare medicare fee schedule · both | $55.10 | $55.10 | $55.10 – $55.10 |
| 3 | Blue Cross Blue Shield anthem healthsync hmo with copps - indianapolis & carmel fee schedule · both | $87.06 | $87.06 | $87.06 – $87.06 |
| 4 | Blue Cross Blue Shield anthem healthsync pos with copps - indianapolis & carmel fee schedule · both | $98.63 | $98.63 | $98.63 – $98.63 |
| 5 | Bcbs Il anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $110.20 | $110.20 | $110.20 – $110.20 |
| 6 | Bcbs In anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $110.20 | $110.20 | $110.20 – $110.20 |
| 7 | Blue Cross Blue Shield anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $110.20 | $110.20 | $110.20 – $110.20 |
| 8 | Blue Cross Blue Shield anthem blue traditional with copps - indianapolis & carmel fee schedule · both | $110.20 | $110.20 | $110.20 – $110.20 |
| 9 | Medicare medicare other · both | $137.63 | $137.63 | $137.63 – $137.63 |
| 10 | Medicaid in mcd-cir-carmel per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 11 | UnitedHealthcare united healthcare charter-cid percent of total billed charges · bothfrom % of charges | $139.59 | $172.46 | $131.87 – $245.92 |
| 12 | UnitedHealthcare united healthcare-cid percent of total billed charges · bothfrom % of charges | $142.41 | $175.94 | $134.53 – $250.88 |
| 13 | Cigna cigna-cid percent of total billed charges · bothfrom % of charges | $149.70 | $184.94 | $141.41 – $263.72 |
| 14 | Medicaid in mcd-indianapol caresource 120% in mcd per diem · both | $190.94 | $190.94 | $190.94 – $190.94 |
| 15 | Aetna aetna-cid percent of total billed charges · bothfrom % of charges | $161.92 | $200.04 | $152.96 – $285.25 |
Last updated: Jan 1, 2026
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