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.
Original text from hospital filings
BM EST PT VISIT LVL 5
Washington, DC
See all hospitals reporting CPT 99215 →Price type
MedStar Georgetown Hospital’s median price of $316 is 50% above the median hospital's median price ($210), higher than 72% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | Carefirst all carefirst hmo plans facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 2 | Carefirst all carefirst ppo plans facility · case rate · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 3 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $110.42 | $110.42 | $110.42 – $110.42 |
| 4 | Aetna aetna all hmo and ppo plans facility · per diem · outpatient | $128.00 | $128.00 | $128.00 – $128.00 |
| 5 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $138.03 | $138.03 | $138.03 – $138.03 |
| 6 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $291.19 | $291.19 | $291.19 – $291.19 |
| 7 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $315.50 | $315.50 | $315.50 – $315.50 |
| 8 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $315.50 | $315.50 | $315.50 – $315.50 |
| 9 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $335.21 | $335.21 | $335.21 – $335.21 |
| 10 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $335.21 | $335.21 | $335.21 – $335.21 |
| 11 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $395.42 | $395.42 | $395.42 – $395.42 |
Last updated: Apr 1, 2026
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.