Outpatient office visit, established patient, level 5 at Lake Charles Memorial Hospital

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

Established patient office or other outpatient, visit typically 40 minutes

Charles, LA

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Pricing by billing methodology

Price type

How this price compares nationally

Lake Charles Memorial Hospital’s median price of $126 is 40% below the median hospital's median price ($210), higher than 15% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at Lake Charles Memorial Hospital

Negotiated rates from the hospital’s own file: 10 payers, 22 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 medicare percent of total billed charges · outpatientfrom % of charges	$42.30	$47.50	$40.26 – $59.94
2	Aetna medicaid fee schedule · outpatient	$56.77	$84.37	$55.44 – $223.68
3	Amerihealth Caritas caritas_medicaid fee schedule · outpatient	$56.77	$90.15	$56.77 – $223.68
4	Magellan medicaid fee schedule · outpatient	$56.77	$90.15	$56.77 – $223.68
5	Medicaid medicaid fee schedule · outpatient	$56.77	$90.15	$56.77 – $223.68
6	UnitedHealthcare medicaid fee schedule · outpatient	$56.77	$90.15	$56.77 – $223.68
7	UnitedHealthcare commercial fee schedule · outpatient	$106.53	$106.53	$106.53 – $106.53
8	Phcs commercial fee schedule · outpatient	$109.24	$109.24	$109.24 – $109.24
9	Humana medicare fee schedule · outpatient	$110.34	$110.34	$110.34 – $110.34
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$112.41	$112.41	$112.41 – $112.41
11	UnitedHealthcare commercial other · outpatient	$125.30	$125.30	$125.30 – $125.30
12	Cigna commercial fee schedule · outpatient	$126.34	$126.34	$126.34 – $126.34
13	Aetna medicare other · outpatient	$127.09	$127.09	$127.09 – $127.09
14	First Health commercial fee schedule · outpatient	$127.61	$127.61	$127.61 – $127.61
15	Humana commercial other · outpatient	$128.58	$128.58	$128.58 – $128.58
16	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$156.58	$143.90	$85.00 – $233.10
17	Humana commercial fee schedule · outpatient	$154.48	$154.48	$154.48 – $154.48
18	Humana commercial percent of total billed charges · outpatientfrom % of charges	$141.00	$158.34	$134.21 – $199.80
19	Blue Cross Blue Shield medicare other · outpatient	$161.41	$161.41	$161.41 – $161.41
20	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$160.54	$177.69	$156.58 – $233.10
21	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$172.01	$190.38	$167.76 – $249.75
22	First Health commercial percent of total billed charges · outpatientfrom % of charges	$183.47	$203.07	$178.94 – $266.40

Last updated: Apr 1, 2026

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