Outpatient office visit, established patient at Hca Florida Citrus Hospital

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

OP VISIT LEVEL 3 EST

Inverness, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Hca Florida Citrus Hospital’s median price of $196 is 58% above the median hospital's median price ($124), higher than 75% of the 2,015 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Hca Florida Citrus Hospital

Negotiated rates from the hospital’s own file: 8 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 mgmcrhmo percent of total billed charges · outpatientfrom % of charges	$37.38	$83.52	$32.90 – $180.29
2	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$54.87	$122.62	$48.30 – $264.68
3	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$130.09	$130.09	$121.80 – $138.37
4	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$130.09	$130.09	$121.80 – $138.37
5	Molina mgmcr percent of total billed charges · outpatientfrom % of charges	$142.05	$142.05	$133.00 – $151.10
6	Blue Cross Blue Shield bsl percent of total billed charges · outpatientfrom % of charges	$63.62	$142.17	$56.00 – $306.88
7	Blue Cross Blue Shield mbn percent of total billed charges · outpatientfrom % of charges	$63.62	$142.17	$56.00 – $306.88
8	Blue Cross Blue Shield sbn percent of total billed charges · outpatientfrom % of charges	$63.62	$142.17	$56.00 – $306.88
9	Molina hix percent of total billed charges · outpatientfrom % of charges	$201.86	$201.86	$189.00 – $214.71
10	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$90.66	$202.59	$79.80 – $437.30
11	Humana hmo percent of total billed charges · outpatientfrom % of charges	$209.34	$209.34	$196.00 – $222.67
12	Humana ppo percent of total billed charges · outpatientfrom % of charges	$209.34	$209.34	$196.00 – $222.67
13	Blue Cross Blue Shield nwb percent of total billed charges · outpatientfrom % of charges	$101.00	$225.69	$88.90 – $487.17
14	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$101.00	$225.69	$88.90 – $487.17
15	Aetna qhp percent of total billed charges · outpatientfrom % of charges	$104.18	$232.80	$91.70 – $502.52
16	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$130.42	$291.44	$114.80 – $629.10
17	Blue Cross Blue Shield phs percent of total billed charges · outpatientfrom % of charges	$159.84	$357.19	$140.70 – $771.04
18	Aetna gatedcomm percent of total billed charges · outpatientfrom % of charges	$179.72	$401.62	$158.20 – $866.94
19	Aetna nongatedcomm percent of total billed charges · outpatientfrom % of charges	$179.72	$401.62	$158.20 – $866.94
20	Aetna asa percent of total billed charges · outpatientfrom % of charges	$238.57	$533.12	$210.00 – $1,151
21	Oscar hix percent of total billed charges · outpatientfrom % of charges	$575.40	$575.40	$575.40 – $575.40
22	UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges	$357.86	$799.69	$315.00 – $1,726
23	MultiPlan primaryppo percent of total billed charges · outpatientfrom % of charges	$596.43	$1,333	$525.00 – $2,877
24	MultiPlan complementaryppo percent of total billed charges · outpatientfrom % of charges	$675.95	$1,511	$595.00 – $3,261

Last updated: Mar 1, 2026

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