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
PF VST HOSP IP/OBS INIT LOW/40MN
Page, AZ
See all hospitals reporting CPT 99221 →Price type
Page Hospital’s median price of $152 is 26% above the median hospital's median price ($121), higher than 62% of the 1,281 hospitals reporting CPT 99221. 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, 22 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 | Humana medicare advantage facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 9 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $164 | $164 | — | — | — | $164 – $164 |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $227 | $227 | — | — | — | $227 – $227 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $236 | $236 | — | — | — | $236 – $236 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
Last updated: Mar 2, 2026
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