Outpatient office visit, established patient, level 4 at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL

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

Pace OP Visit E&M of Established Patient; Level 4

CARMEL, IN

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How this price compares nationally

FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL’s median price of $182 is 14% above the median hospital's median price ($159), higher than 58% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL

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	$80.95	$80.95	$80.95 – $80.95
2	Medicare medicare fee schedule · both	$80.95	$80.95	$80.95 – $80.95
3	Blue Cross Blue Shield anthem healthsync hmo with copps - indianapolis & carmel fee schedule · both	$127.90	$127.90	$127.90 – $127.90
4	Medicare medicare other · both	$140.86	$140.86	$140.86 – $140.86
5	Blue Cross Blue Shield anthem healthsync pos with copps - indianapolis & carmel fee schedule · both	$144.90	$144.90	$144.90 – $144.90
6	Medicaid in mcd-cir-carmel per diem · both	$159.12	$159.12	$159.12 – $159.12
7	Bcbs Il anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$161.90	$161.90	$161.90 – $161.90
8	Bcbs In anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$161.90	$161.90	$161.90 – $161.90
9	Blue Cross Blue Shield anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$161.90	$161.90	$161.90 – $161.90
10	Blue Cross Blue Shield anthem blue traditional with copps - indianapolis & carmel fee schedule · both	$161.90	$161.90	$161.90 – $161.90
11	Medicaid in mcd-indianapol caresource 120% in mcd per diem · both	$190.94	$190.94	$190.94 – $190.94
12	UnitedHealthcare united healthcare charter-cid percent of total billed charges · bothfrom % of charges	$165.73	$203.35	$156.82 – $287.50
13	UnitedHealthcare united healthcare-cid percent of total billed charges · bothfrom % of charges	$169.07	$207.45	$159.98 – $293.30
14	Cigna cigna-cid percent of total billed charges · bothfrom % of charges	$177.72	$218.07	$168.17 – $308.31
15	Aetna aetna-cid percent of total billed charges · bothfrom % of charges	$192.23	$235.87	$181.90 – $333.48

Last updated: Jan 1, 2026

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