Brief outpatient follow-up visit with established patient at Piedmont Walton

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 Est Eval Visit Level 1

Monroe, GA

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Pricing by billing methodology

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How this price compares nationally

Piedmont Walton’s median price of $219 is 221% above the median hospital's median price ($68), higher than 92% of the 2,099 hospitals reporting CPT 99211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99211 at Piedmont Walton

Negotiated rates from the hospital’s own file: 10 payers, 13 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	Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges	$0	$0	—	—	—	$0 – $0
2	Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges	$0	$0	—	—	—	$0 – $0
3	Caresource caresource medicaid percent of total billed charges · bothfrom % of charges	$32	$32	—	—	1–10	$32 – $32
4	UnitedHealthcare united healthcare exchange percent of total billed charges · bothfrom % of charges	$143	$143	—	—	—	$143 – $143
5	Cigna cigna connect other · both	$144	$144	—	—	—	$144 – $144
6	Cigna cigna other · both	$201	$201	—	—	—	$201 – $201
7	UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges	$219	$219	—	—	—	$219 – $219
8	First Health first health percent of total billed charges · bothfrom % of charges	$235	$235	—	—	—	$235 – $235
9	Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges	$238	$238	—	—	—	$238 – $238
10	MultiPlan multiplan percent of total billed charges · bothfrom % of charges	$268	$268	—	—	—	$268 – $268
11	Phcs phcs percent of total billed charges · bothfrom % of charges	$268	$268	—	—	—	$268 – $268
12	Kaiser kaiser percent of total billed charges · bothfrom % of charges	$285	$285	—	—	—	$285 – $285
13	Beechstreet beechstreet percent of total billed charges · bothfrom % of charges	$302	$302	—	—	—	$302 – $302

Last updated: Jul 1, 2026

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