Outpatient new patient office visit, high complexity at Lancaster General Health

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

HC VISIT LEVEL 5 NEW PT

Lancaster, PA

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Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $722 is 181% above the median hospital's median price ($257), higher than 95% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at Lancaster General Health

Negotiated rates from the hospital’s own file: 8 payers, 25 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	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$129	$129	—	—	—	$129 – $129
2	Aetna aetna medicare advantage facility · other · outpatient	$204	$268	$158	59%	—	$47 – $589
3	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$205	$270	$159	59%	—	$48 – $594
4	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$282	$371	$219	59%	—	$66 – $816
5	Devoted devoted health medicare advantage facility · other · outpatient	$345	$454	$267	59%	—	$80 – $998
6	Oscar oscar health plan facility · other · outpatient	$423	$556	$328	59%	—	$98 – $1.2k
7	Highmark highmark chip facility · other · outpatient	$603	$652	$370	57%	—	$97 – $1.2k
8	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$734	$738	$136	18%	—	$584 – $901
9	Highmark highmark aca facility · other · outpatient	$725	$783	$444	57%	—	$117 – $1.5k
10	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$651	$857	$505	59%	—	$152 – $1.9k
11	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$876	$881	$162	18%	—	$698 – $1.1k
12	Highmark highmark commercial preferred facility · other · outpatient	$832	$899	$510	57%	—	$134 – $1.7k
13	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$722	$950	$559	59%	—	$168 – $2.1k
14	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$734	$965	$568	59%	—	$171 – $2.1k
15	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$734	$965	$568	59%	—	$171 – $2.1k
16	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$734	$965	$568	59%	—	$171 – $2.1k
17	Highmark highmark commercial facility · other · outpatient	$1.0k	$1.1k	$635	57%	—	$167 – $2.1k
18	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
19	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
20	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
21	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
22	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
23	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
24	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$863	$1.1k	$669	59%	—	$201 – $2.5k
25	Highmark highmark commercial non-preferred facility · other · outpatient	$1.3k	$1.4k	$769	57%	—	$203 – $2.5k

Last updated: Mar 31, 2026

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