Outpatient new patient office visit, high complexity at Mercy Perry

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

CAH OP Visit Level V New Pt Mlp

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $255 is about the same as the median hospital's median price ($257), higher than 49% 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 Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 26 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$4	7%	—	$53 – $63
2	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
3	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
4	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
5	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
6	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
7	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$8	7%	—	$108 – $127
8	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$120	$120	$8	7%	—	$110 – $129
9	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	$8	7%	—	$112 – $132
10	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	$8	7%	—	$112 – $132
11	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	$9	7%	—	$128 – $151
12	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$162	$162	$11	7%	—	$149 – $175
13	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	$12	7%	—	$168 – $198
14	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$183	$183	$12	7%	—	$168 – $198
15	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	$15	7%	—	$202 – $238
16	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	$16	7%	—	$219 – $259
17	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	$16	7%	—	$219 – $259
18	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	$17	7%	—	$232 – $273
19	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	$17	7%	—	$232 – $273
20	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$255	$255	$17	7%	—	$234 – $275
21	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$255	$255	$17	7%	—	$234 – $275
22	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$270	$270	$18	7%	—	$248 – $292
23	Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$270	$270	$18	7%	—	$248 – $292
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$288	$287	$19	7%	—	$264 – $311
25	Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$297	$297	$20	7%	—	$273 – $321

Page 1 of 2 · 26 rates

Last updated: Mar 12, 2026

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