Outpatient specialist consultation, high complexity 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 5

Lancaster, PA

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Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $383 is 47% above the median hospital's median price ($261), higher than 66% of the 1,112 hospitals reporting CPT 99245. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99245 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	$120	$120	$13	11%	—	$106 – $133
2	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$121	$121	$13	11%	—	$107 – $134
3	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$156	$156	—	—	—	$156 – $156
4	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$166	$166	$18	11%	—	$147 – $184
5	Devoted devoted health medicare advantage facility · other · outpatient	$203	$203	$23	11%	—	$180 – $226
6	Highmark highmark chip facility · other · outpatient	$246	$246	$27	11%	—	$219 – $273
7	Oscar oscar health plan facility · other · outpatient	$249	$249	$28	11%	—	$221 – $276
8	Highmark highmark aca facility · other · outpatient	$296	$296	$33	11%	—	$263 – $329
9	Highmark highmark commercial preferred facility · other · outpatient	$340	$340	$38	11%	—	$302 – $377
10	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$383	$383	$43	11%	—	$340 – $426
11	Highmark highmark commercial facility · other · outpatient	$422	$422	$47	11%	—	$375 – $469
12	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$425	$425	$47	11%	—	$377 – $472
13	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$431	$431	$48	11%	—	$383 – $479
14	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$431	$431	$48	11%	—	$383 – $479
15	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$431	$431	$48	11%	—	$383 – $479
16	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
17	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
18	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
19	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
20	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
21	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
22	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$508	$508	$57	11%	—	$451 – $564
23	Highmark highmark commercial non-preferred facility · other · outpatient	$512	$512	$57	11%	—	$455 – $569

Last updated: Mar 31, 2026

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