Critical care, first hour of physician time at Lexington Medical Center

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 ER CRITICAL CARE, E/M 30-74 MINUTES

Lexington, NC

See all hospitals reporting CPT 99291 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Lexington Medical Center’s median price of $1.2k is 3% above the median hospital's median price ($1.2k), higher than 51% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 at Lexington Medical Center

Negotiated rates from the hospital’s own file: 11 payers, 37 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$623.23	$623.23	$623.23 – $623.23
2	WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$623.23	$623.23	$623.23 – $623.23
3	Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges	$697.58	$697.58	$697.58 – $697.58
4	Medcost employee managed care percent of total billed charges · inpatientfrom % of charges	$717.23	$717.23	$717.23 – $717.23
5	Aetna medicare advantage other · outpatient	$815.66	$815.66	$815.66 – $815.66
6	Blue Cross Blue Shield medicare advantage other · outpatient	$815.66	$815.66	$815.66 – $815.66
7	UnitedHealthcare medicare advantage other · outpatient	$815.66	$815.66	$815.66 – $815.66
8	WellCare medicare advantage other · outpatient	$815.66	$815.66	$815.66 – $815.66
9	Humana medicare advantage other · outpatient	$831.97	$831.97	$831.97 – $831.97
10	Medcost employee managed care percent of total billed charges · outpatientfrom % of charges	$910.45	$910.45	$910.45 – $910.45
11	Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges	$930.10	$930.10	$930.10 – $930.10
12	Ambetter managed care percent of total billed charges · outpatientfrom % of charges	$939.93	$939.93	$939.93 – $939.93
13	Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges	$944.84	$944.84	$944.84 – $944.84
14	Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges	$979.23	$979.23	$979.23 – $979.23
15	Oscar managed care percent of total billed charges · outpatientfrom % of charges	$1,048	$1,048	$1,048 – $1,048
16	Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges	$1,067	$1,067	$1,067 – $1,067
17	Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges	$1,107	$1,107	$1,107 – $1,107
18	Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges	$1,122	$1,122	$1,122 – $1,122
19	Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges	$1,228	$1,228	$1,228 – $1,228
20	UnitedHealthcare iex individual percent of total billed charges · outpatientfrom % of charges	$1,287	$1,287	$1,287 – $1,287
21	Cigna managed care percent of total billed charges · outpatientfrom % of charges	$1,425	$1,425	$1,425 – $1,425
22	Oscar managed care percent of total billed charges · inpatientfrom % of charges	$1,441	$1,441	$1,441 – $1,441
23	Cigna managed care percent of total billed charges · inpatientfrom % of charges	$1,451	$1,451	$1,451 – $1,451
24	UnitedHealthcare managed care percent of total billed charges · outpatientfrom % of charges	$1,467	$1,467	$1,467 – $1,467
25	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$2,122	$2,122	$2,122 – $2,122

Page 1 of 2 · 37 rates

Last updated: Oct 8, 2025

Compare to other hospitals

See Critical care, first hour of physician time pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.