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
HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL V 40-54
Philadelphia, PA
See all hospitals reporting CPT 99215 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $273 is 30% above the median hospital's median price ($210), higher than 65% 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: 10 payers, 29 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 unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $81.82 | $81.82 | $70.37 – $93.27 |
| 2 | Highmark highmark facility · other · outpatient | $99.83 | $99.83 | $85.86 – $113.80 |
| 3 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $107.82 | $107.82 | $92.73 – $122.90 |
| 4 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $111.02 | $111.02 | $95.48 – $126.55 |
| 5 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $111.02 | $111.02 | $95.48 – $126.55 |
| 6 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $135.25 | $135.25 | $116.32 – $154.18 |
| 7 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $153.70 | $153.70 | $132.19 – $175.21 |
| 8 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $153.76 | $153.76 | $153.76 – $153.76 |
| 9 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $154.94 | $154.94 | $133.25 – $176.62 |
| 10 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $161.33 | $161.33 | $138.75 – $183.90 |
| 11 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $199.66 | $199.66 | $171.72 – $227.60 |
| 12 | Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $199.66 | $199.66 | $171.72 – $227.60 |
| 13 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $199.66 | $199.66 | $171.72 – $227.60 |
| 14 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $199.66 | $199.66 | $171.72 – $227.60 |
| 15 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $203.65 | $203.65 | $175.15 – $232.15 |
| 16 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $243.59 | $243.59 | $209.50 – $277.67 |
| 17 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $319.46 | $319.46 | $274.75 – $364.16 |
| 18 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $319.46 | $319.46 | $274.75 – $364.16 |
| 19 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $399.32 | $399.32 | $343.44 – $455.20 |
| 20 | Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $399.32 | $399.32 | $343.44 – $455.20 |
| 21 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $399.32 | $399.32 | $343.44 – $455.20 |
| 22 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $399.32 | $399.32 | $343.44 – $455.20 |
| 23 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $399.32 | $399.32 | $343.44 – $455.20 |
| 24 | Clover clover health plan facility · other · outpatient | $399.32 | $399.32 | $343.44 – $455.20 |
| 25 | Highmark highmark medicare advantage facility · other · outpatient | $399.32 | $399.32 | $343.44 – $455.20 |
Last updated: Mar 20, 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.