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
Transition Care Mgt, Mod Cmplx
Utica, NY
See all hospitals reporting CPT 99495 →Price type
MVHS, Inc.’s median price of $181 is 14% above the median hospital's median price ($159), higher than 60% of the 1,605 hospitals reporting CPT 99495. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 41 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 | UnitedHealthcare uhc commercial per diem · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 2 | UnitedHealthcare uhc commercial per diem · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 4 | WellCare wellcare fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Aetna aetna medicare advantage fee schedule · both | $119 | $119 | — | — | — | $119 – $119 |
| 6 | WellCare wellcare fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 7 | WellCare wellcare fee schedule · inpatient | $123 | $123 | — | — | — | $123 – $123 |
| 8 | Humana humana military fee schedule · inpatient | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Tricare humana military fee schedule · inpatient | $124 | $124 | — | — | — | $124 – $124 |
| 10 | Humana humana military other · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 11 | Tricare humana military other · outpatient | $145 | $145 | — | — | — | $145 – $145 |
| 12 | UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges | $148 | $148 | — | — | 2–20 | $148 – $148 |
| 13 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 14 | UnitedHealthcare uhc medicare advantage percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 15 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 16 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 17 | Humana choicecare fee schedule · both | $163 | $163 | $32 | 20% | — | $131 – $194 |
| 18 | Excellus excellus bcbs medicare advantage other · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 19 | Humana humana medicare advantage other · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 20 | Medicare medicare other · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 21 | Optum vaccn optum other · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 22 | UnitedHealthcare uhc medicare advantage other · outpatient | $168 | $168 | — | — | 1–10 | $168 – $168 |
| 23 | Aetna aetna medicare advantage other · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 24 | WellCare wellcare medicare advantage other · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 25 | Humana humana medicare advantage fee schedule · both | $194 | $173 | $30 | 17% | 1–10 | $131 – $194 |
Last updated: Aug 7, 2026
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