Outpatient office consultation, straightforward 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CONSULT VISIT LEVEL 2

Lancaster, PA

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Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $158 is 43% above the median hospital's median price ($111), higher than 63% of the 1,109 hospitals reporting CPT 99242. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99242 at Lancaster General Health

Negotiated rates from the hospital’s own file: 8 payers, 23 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 aetna medicare advantage facility · other · outpatient	$44	$44	—	—	—	$44 – $44
2	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$44	$44	—	—	—	$44 – $44
3	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$48	$48	—	—	—	$48 – $48
4	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
5	Devoted devoted health medicare advantage facility · other · outpatient	$74	$74	—	—	—	$74 – $74
6	Highmark highmark chip facility · other · outpatient	$90	$90	—	—	—	$90 – $90
7	Oscar oscar health plan facility · other · outpatient	$91	$91	—	—	—	$91 – $91
8	Highmark highmark aca facility · other · outpatient	$108	$108	—	—	—	$108 – $108
9	Highmark highmark commercial preferred facility · other · outpatient	$124	$124	—	—	—	$124 – $124
10	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
11	Highmark highmark commercial facility · other · outpatient	$155	$155	—	—	—	$155 – $155
12	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
13	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
14	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
15	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
16	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
17	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
18	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
19	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
20	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
21	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
22	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
23	Highmark highmark commercial non-preferred facility · other · outpatient	$188	$188	—	—	—	$188 – $188

Last updated: Mar 31, 2026

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