Outpatient specialist consultation, high complexity visit at Methodist North 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

HC Office Consultation New/Estab Patient 55 Min

MEMPHIS, TN

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Pricing by billing methodology

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How this price compares nationally

Methodist North Hospital’s median price of $118 is 55% below the median hospital's median price ($261), higher than 9% 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 Methodist North Hospital

Negotiated rates from the hospital’s own file: 7 payers, 21 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	Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university percent of total billed charges · bothfrom % of charges	$76	$76	—	—	—	$76 – $76
2	Cigna hb cigna localplus - germantown-north-south-olive branch-cancer inst-university percent of total billed charges · bothfrom % of charges	$76	$76	—	—	—	$76 – $76
3	Cigna hb cigna ifp - germantown-north-south-olive branch-cancer inst-university percent of total billed charges · bothfrom % of charges	$88	$88	—	—	—	$88 – $88
4	Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university percent of total billed charges · bothfrom % of charges	$90	$90	—	—	—	$90 – $90
5	Cigna hb cigna epo adult locations per diem · both	$94	$94	—	—	—	$94 – $94
6	Cigna hb cigna ppo - germantown-north-south-olive branch-cancer inst-university percent of total billed charges · bothfrom % of charges	$96	$96	—	—	—	$96 – $96
7	Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both	$96	$96	—	—	—	$96 – $96
8	UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both	$96	$96	—	—	—	$96 – $96
9	Blue Cross Blue Shield hb medicare advantage / managed care - tn contract other · both	$118	$118	—	—	—	$118 – $118
10	Humana hb medicare advantage / managed care - tn contract other · both	$118	$118	—	—	—	$118 – $118
11	Medicare hb medicare-tn contract other · both	$118	$118	—	—	—	$118 – $118
12	Optum hb medicare advantage / managed care - tn contract other · both	$118	$118	—	—	—	$118 – $118
13	UnitedHealthcare hb medicare advantage / managed care - tn contract other · both	$118	$118	—	—	—	$118 – $118
14	WellCare hb medicare advantage / managed care - tn contract other · both	$118	$118	—	—	—	$118 – $118
15	UnitedHealthcare hb uhc heritage select contract percent of total billed charges · bothfrom % of charges	$157	$157	—	—	—	$157 – $157
16	UnitedHealthcare hb uhc fed ex core percent of total billed charges · bothfrom % of charges	$178	$178	—	—	—	$178 – $178
17	UnitedHealthcare hb uhc fed ex nexus aco percent of total billed charges · bothfrom % of charges	$180	$180	—	—	—	$180 – $180
18	UnitedHealthcare hb uhc core percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
19	UnitedHealthcare hb uhc nexus aco adult percent of total billed charges · bothfrom % of charges	$185	$185	—	—	—	$185 – $185
20	UnitedHealthcare hb uhc fed ex all payer (choice) percent of total billed charges · bothfrom % of charges	$191	$191	—	—	—	$191 – $191
21	UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci percent of total billed charges · bothfrom % of charges	$197	$197	—	—	—	$197 – $197

Last updated: Mar 19, 2026

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