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
Office/Outpt Visit, Est, Level III
Rochester, NY
See all hospitals reporting CPT 99213 →Price type
Highland Hospital’s median price of $153 is 23% above the median hospital's median price ($124), higher than 62% 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: 6 payers, 13 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 | Excellus excellus child health plus [220108] fee schedule · outpatient | $19.85 | $19.85 | $17.01 – $22.68 |
| 2 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $19.85 | $19.85 | $17.01 – $22.68 |
| 3 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $19.85 | $19.85 | $17.01 – $22.68 |
| 4 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $50.75 | $50.75 | $43.50 – $58.00 |
| 5 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $104.84 | $104.17 | $17.01 – $190.00 |
| 6 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $117.93 | $117.93 | $68.11 – $167.75 |
| 7 | Humana humana medicare [131201] fee schedule · outpatient | $137.23 | $137.23 | $79.26 – $195.20 |
| 8 | Aetna aetna medicare [130001] fee schedule · outpatient | $139.38 | $139.38 | $80.50 – $198.25 |
| 9 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $188.50 | $188.50 | $187.00 – $190.00 |
| 10 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $188.50 | $188.50 | $187.00 – $190.00 |
| 11 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $188.50 | $188.50 | $187.00 – $190.00 |
| 12 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $215.04 | $215.04 | $215.04 – $215.04 |
| 13 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $334.60 | $334.60 | $193.25 – $475.95 |
Last updated: Jul 1, 2026
See Outpatient office visit, established patient pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.