Outpatient new patient office visit, high complexity at Mariners Hospital

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

OFFICE O/P NEW HI 60 MIN

TAVERNIER, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Mariners Hospital’s median price of $890 is 247% above the median hospital's median price ($257), higher than 97% 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 Mariners Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Blue Cross Blue Shield my blue ex percent of total billed charges · bothfrom % of charges	$205	$205	—	—	—	$205 – $205
2	Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges	$249	$249	—	—	—	$249 – $249
3	Medica medica mcr hmo percent of total billed charges · bothfrom % of charges	$249	$249	—	—	—	$249 – $249
4	Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges	$249	$249	—	—	—	$249 – $249
5	UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges	$249	$249	—	—	—	$249 – $249
6	Humana careplus mc hmo percent of total billed charges · bothfrom % of charges	$271	$271	—	—	—	$271 – $271
7	Humana humana medicare percent of total billed charges · bothfrom % of charges	$271	$271	—	—	—	$271 – $271
8	Aetna aetna medicare percent of total billed charges · bothfrom % of charges	$273	$273	—	—	—	$273 – $273
9	Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges	$284	$284	—	—	—	$284 – $284
10	Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges	$336	$336	—	—	—	$336 – $336
11	Blue Cross Blue Shield bcbs fl simplyblue hmo percent of total billed charges · bothfrom % of charges	$764	$764	—	—	—	$764 – $764
12	Aetna aetna hmo exchange percent of total billed charges · bothfrom % of charges	$842	$842	—	—	—	$842 – $842
13	Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges	$842	$842	—	—	—	$842 – $842
14	Blue Cross Blue Shield bcbs ppc cah percent of total billed charges · bothfrom % of charges	$890	$890	—	—	—	$890 – $890
15	Blue Cross Blue Shield blue care hmo percent of total billed charges · bothfrom % of charges	$890	$890	—	—	—	$890 – $890
16	Blue Cross Blue Shield blue select percent of total billed charges · bothfrom % of charges	$890	$890	—	—	—	$890 – $890
17	Aetna aetna catastrophic percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
18	Aetna aetna hmo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
19	Aetna aetna ppo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
20	Aetna aetna tier 2 percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
21	Cigna cigna hmo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
22	Cigna cigna ppo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
23	UnitedHealthcare intl united health percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
24	UnitedHealthcare nhp hmo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949
25	UnitedHealthcare united hmo percent of total billed charges · bothfrom % of charges	$949	$949	—	—	—	$949 – $949

Page 1 of 2 · 31 rates

Last updated: Mar 30, 2026

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