Outpatient new patient office visit, high complexity at Hilo Benioff Medical Center

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

PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES

Hilo, HI

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How this price compares nationally

Hilo Benioff Medical Center’s median price of $187 is 27% below the median hospital's median price ($257), higher than 28% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at Hilo Benioff Medical Center

Negotiated rates from the hospital’s own file: 3 payers, 9 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	UnitedHealthcare medicaid facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
2	UnitedHealthcare medicare professional · fee schedule · both	$160	$160	—	—	—	$160 – $160
3	Devoted medicare professional · fee schedule · both	$176	$176	—	—	—	$176 – $176
4	UnitedHealthcare medicaid professional · fee schedule · both	$183	$183	—	—	—	$183 – $183
5	Kaiser commercial professional · fee schedule · both	$191	$191	—	—	—	$191 – $191
6	Kaiser medicaid professional · fee schedule · both	$191	$191	—	—	—	$191 – $191
7	Kaiser medicare professional · fee schedule · both	$191	$191	—	—	—	$191 – $191
8	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
9	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520

Last updated: Jun 15, 2026

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