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/OUTPATIENT ESTABLISHED LOW MDM 20 MIN
Vero Beach, FL
See all hospitals reporting CPT 99213 →Price type
Indian River Memorial Hospital Inc’s median price of $76 is 39% below the median hospital's median price ($124), higher than 21% 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: 10 payers, 36 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 | Optum managed medicaid professional · fee schedule · outpatient | $32.05 | $32.05 | $32.05 – $32.05 |
| 2 | Medicaid managed medicaid professional · fee schedule · outpatient | $34.29 | $34.29 | $34.29 – $34.29 |
| 3 | Molina managed medicaid professional · fee schedule · outpatient | $34.29 | $34.29 | $34.29 – $34.29 |
| 4 | WellCare managed medicaid professional · fee schedule · outpatient | $34.29 | $34.29 | $34.29 – $34.29 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $44.18 | $44.18 | $44.18 – $44.18 |
| 6 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $45.47 | $45.47 | $45.47 – $45.47 |
| 7 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $46.59 | $46.59 | $46.59 – $46.59 |
| 8 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $47.71 | $47.71 | $47.71 – $47.71 |
| 9 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $47.71 | $47.71 | $47.71 – $47.71 |
| 10 | Cigna individual family plan facility · percent of total billed charges · outpatientfrom % of charges | $48.32 | $48.32 | $48.32 – $48.32 |
| 11 | Magellan summit professional · other · outpatient | $50.00 | $50.00 | $50.00 – $50.00 |
| 12 | Cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $58.28 | $58.28 | $58.28 – $58.28 |
| 13 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $59.78 | $59.78 | $59.78 – $59.78 |
| 14 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $60.32 | $60.32 | $60.32 – $60.32 |
| 15 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $60.32 | $60.32 | $60.32 – $60.32 |
| 16 | Magellan medicare advantage professional · fee schedule · outpatient | $60.32 | $60.32 | $60.32 – $60.32 |
| 17 | WellCare medicare advantage professional · fee schedule · outpatient | $60.32 | $60.32 | $60.32 – $60.32 |
| 18 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $66.18 | $66.18 | $66.18 – $66.18 |
| 19 | Aetna medicare advantage behavioral health professional · fee schedule · outpatient | $72.38 | $72.38 | $72.38 – $72.38 |
| 20 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $74.80 | $74.80 | $74.80 – $74.80 |
| 21 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $76.00 | $76.00 | $76.00 – $76.00 |
| 22 | Aetna pos first health professional · fee schedule · outpatient | $84.84 | $84.84 | $84.84 – $84.84 |
| 23 | Cigna individual family plan mid-level professional · fee schedule · outpatient | $85.87 | $85.87 | $85.87 – $85.87 |
| 24 | Cigna surefit mid-level professional · fee schedule · outpatient | $87.53 | $87.53 | $87.53 – $87.53 |
| 25 | Cigna all products mid-level professional · fee schedule · outpatient | $94.33 | $94.33 | $94.33 – $94.33 |
Last updated: Jun 15, 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.