Initial high-complexity hospital inpatient or observation visit at Holy Cross Hospital-Silver Spring

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 Hospital IP/Obs Care Initial High Level per Day

Silver Spring, MD

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $368 is 61% above the median hospital's median price ($229), higher than 69% of the 1,252 hospitals reporting CPT 99223. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99223 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 34 payers, 41 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	Aetna aetna medicare advantage professional · fee schedule · inpatient	$141	$141	—	—	—	$141 – $141
2	Humana tricare professional · fee schedule · inpatient	$150	$150	—	—	—	$150 – $150
3	Tricare tricare professional · fee schedule · inpatient	$150	$150	—	—	—	$150 – $150
4	Aetna aetna medicare advantage professional · fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
5	Humana tricare professional · fee schedule · outpatient	$176	$176	—	—	—	$176 – $176
6	Tricare tricare professional · fee schedule · outpatient	$176	$176	—	—	—	$176 – $176
7	Aetna aetna professional · fee schedule · inpatient	$240	$240	—	—	—	$240 – $240
8	Aetna aetna professional · fee schedule · outpatient	$282	$282	—	—	—	$282 – $282
9	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
10	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
12	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
14	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	1–10	$368 – $368
15	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
16	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
17	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
18	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
19	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
20	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
21	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
22	Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
23	Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
24	Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368
25	Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$368	$368	—	—	—	$368 – $368

Page 1 of 2 · 41 rates

Last updated: Mar 31, 2026

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