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 HIGH MDM 40 MIN
Vero Beach, FL
See all hospitals reporting CPT 99215 →Price type
Indian River Memorial Hospital Inc’s median price of $147 is 30% below the median hospital's median price ($210), higher than 26% of the 1,976 hospitals reporting CPT 99215. 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, 37 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 | Magellan summit professional · other · outpatient | $68.00 | $68.00 | $68.00 – $68.00 |
| 2 | Optum managed medicaid professional · fee schedule · outpatient | $69.86 | $69.86 | $69.86 – $69.86 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $70.50 | $70.50 | $70.50 – $70.50 |
| 4 | Cigna individual family plan facility · percent of total billed charges · outpatientfrom % of charges | $77.10 | $77.10 | $77.10 – $77.10 |
| 5 | Magellan pinnacle professional · other · outpatient | $78.74 | $78.74 | $78.74 – $78.74 |
| 6 | Cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $93.00 | $93.00 | $93.00 – $93.00 |
| 7 | Medicaid managed medicaid professional · fee schedule · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 8 | Molina managed medicaid professional · fee schedule · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 9 | WellCare managed medicaid professional · fee schedule · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 10 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $95.40 | $95.40 | $95.40 – $95.40 |
| 11 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $97.93 | $97.93 | $97.93 – $97.93 |
| 12 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $100.34 | $100.34 | $100.34 – $100.34 |
| 13 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $102.75 | $102.75 | $102.75 – $102.75 |
| 14 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $102.75 | $102.75 | $102.75 – $102.75 |
| 15 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $132.24 | $132.24 | $132.24 – $132.24 |
| 16 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $132.24 | $132.24 | $132.24 – $132.24 |
| 17 | Magellan medicare advantage professional · fee schedule · outpatient | $132.24 | $132.24 | $132.24 – $132.24 |
| 18 | WellCare medicare advantage professional · fee schedule · outpatient | $132.24 | $132.24 | $132.24 – $132.24 |
| 19 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $143.91 | $143.91 | $143.91 – $143.91 |
| 20 | Aetna all products facility · other · outpatient | $158.00 | $158.00 | $158.00 – $158.00 |
| 21 | Aetna qhp facility · other · outpatient | $158.00 | $158.00 | $158.00 – $158.00 |
| 22 | Aetna medicare advantage behavioral health professional · fee schedule · outpatient | $158.69 | $158.69 | $158.69 – $158.69 |
| 23 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $163.98 | $163.98 | $163.98 – $163.98 |
| 24 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $166.62 | $166.62 | $166.62 – $166.62 |
| 25 | Aetna pos first health professional · fee schedule · outpatient | $167.54 | $167.54 | $167.54 – $167.54 |
Last updated: Jun 15, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.