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
PR OFFICE/OUTPT VISIT, EST, LEVL V, 40-54 MIN
ST, LA
See all hospitals reporting CPT 99215 →Price type
Kaplan General Hospital, Inc’s median price of $109 is 48% below the median hospital's median price ($210), higher than 8% 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, 18 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 | Bcbs La all payor other · outpatient | $71.55 | $71.55 | $71.55 – $71.55 |
| 2 | Humana all payor other · outpatient | $71.55 | $71.55 | $71.55 – $71.55 |
| 3 | Optum all payor other · outpatient | $71.55 | $71.55 | $71.55 – $71.55 |
| 4 | UnitedHealthcare all payor other · outpatient | $71.55 | $71.55 | $71.55 – $71.55 |
| 5 | WellCare all payor other · outpatient | $71.55 | $71.55 | $71.55 – $71.55 |
| 6 | Aetna Better Health all payor fee schedule · outpatient | $84.93 | $75.62 | $57.00 – $84.93 |
| 7 | Amerihealth Caritas all payor fee schedule · outpatient | $84.93 | $75.62 | $57.00 – $84.93 |
| 8 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $83.33 | $83.33 | $83.33 – $83.33 |
| 9 | Aetna all payor other · outpatient | $85.70 | $85.70 | $71.55 – $99.85 |
| 10 | Humana all payor fee schedule · outpatient | $84.93 | $98.86 | $57.00 – $133.72 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $133.40 | $118.01 | $57.00 – $166.20 |
| 12 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $119.25 | $119.25 | $119.25 – $119.25 |
| 13 | Optum all payor fee schedule · outpatient | $133.72 | $133.72 | $133.72 – $133.72 |
| 14 | Tricare all payor fee schedule · outpatient | $137.64 | $137.64 | $137.64 – $137.64 |
| 15 | Aetna all payor fee schedule · outpatient | $138.77 | $138.77 | $133.72 – $143.81 |
| 16 | Cigna all payor fee schedule · outpatient | $147.12 | $147.12 | $147.12 – $147.12 |
| 17 | Bcbs La all payor fee schedule · outpatient | $109.05 | $167.94 | $109.05 – $315.48 |
| 18 | WellCare all payor fee schedule · outpatient | $173.84 | $173.84 | $173.84 – $173.84 |
Last updated: Apr 1, 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.