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 5
LAFAYETTE, IN
See all hospitals reporting CPT 99215 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $288 is 37% above the median hospital's median price ($210), higher than 68% 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, 18 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 | $120.15 | $120.15 | $120.15 – $120.15 |
| 2 | Medicare medicare-wir-lafayette fee schedule · both | $120.15 | $120.15 | $120.15 – $120.15 |
| 3 | Medicare medicare-wir-lafayette other · both | $140.86 | $140.86 | $140.86 – $140.86 |
| 4 | Medicaid in mcd-wir-lafayette per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 5 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette fee schedule · both | $189.84 | $189.84 | $189.84 – $189.84 |
| 6 | Medicaid in mcd lafayet caresource 120% of in mcd per diem · both | $190.94 | $190.94 | $190.94 – $190.94 |
| 7 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $215.07 | $215.07 | $215.07 – $215.07 |
| 8 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $240.30 | $240.30 | $240.30 – $240.30 |
| 9 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $240.30 | $240.30 | $240.30 – $240.30 |
| 10 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $240.30 | $240.30 | $240.30 – $240.30 |
| 11 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $226.73 | $259.26 | $155.80 – $395.24 |
| 12 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $240.56 | $275.07 | $165.30 – $419.34 |
| 13 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $267.10 | $305.42 | $183.54 – $465.61 |
| 14 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $294.20 | $336.40 | $202.16 – $512.85 |
| 15 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $373.11 | $426.64 | $256.39 – $650.41 |
| 16 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $379.91 | $434.41 | $261.06 – $662.27 |
| 17 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $391.52 | $447.69 | $269.04 – $682.51 |
| 18 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $442.40 | $505.87 | $304.00 – $771.20 |
Last updated: Jan 1, 2026
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