Low-complexity outpatient consultation, unscheduled visit 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 CONSULT VISIT LEVEL 3

Lancaster, PA

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Pricing by billing methodology

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How this price compares nationally

Lancaster General Health’s median price of $211 is 36% above the median hospital's median price ($155), higher than 63% of the 1,118 hospitals reporting CPT 99243. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99243 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	$60	$60	$2	3%	—	$59 – $62
2	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$61	$61	$2	3%	—	$59 – $63
3	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$76	$76	—	—	—	$76 – $76
4	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	$2	3%	—	$81 – $86
5	Devoted devoted health medicare advantage facility · other · outpatient	$102	$102	$3	3%	—	$99 – $105
6	Highmark highmark chip facility · other · outpatient	$124	$124	$4	3%	—	$120 – $128
7	Oscar oscar health plan facility · other · outpatient	$125	$125	$4	3%	—	$122 – $129
8	Highmark highmark aca facility · other · outpatient	$149	$149	$4	3%	—	$145 – $153
9	Highmark highmark commercial preferred facility · other · outpatient	$171	$171	$5	3%	—	$166 – $176
10	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$193	$193	$6	3%	—	$187 – $199
11	Highmark highmark commercial facility · other · outpatient	$213	$213	$6	3%	—	$206 – $219
12	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	$6	3%	—	$208 – $220
13	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$217	$217	$6	3%	—	$211 – $224
14	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$217	$217	$6	3%	—	$211 – $224
15	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$217	$217	$6	3%	—	$211 – $224
16	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
17	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
18	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
19	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
20	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
21	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
22	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$256	$256	$8	3%	—	$248 – $263
23	Highmark highmark commercial non-preferred facility · other · outpatient	$258	$258	$8	3%	—	$250 – $265

Last updated: Mar 31, 2026

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