Outpatient office visit, established patient at Rush Hospital/Butler, Inc.

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

PR OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN

Butler, AL

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Pricing by billing methodology

Price type

How this price compares nationally

Rush Hospital/Butler, Inc.’s median price of $131 is 6% above the median hospital's median price ($124), higher than 53% of the 2,009 hospitals reporting CPT 99213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99213 at Rush Hospital/Butler, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 18 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	Bcbs Al all payor fee schedule · outpatient	$51.91	$51.91	$51.91 – $51.91
2	Molina all payor fee schedule · outpatient	$54.64	$54.64	$54.64 – $54.64
3	Cigna all payor fee schedule · outpatient	$56.34	$56.34	$56.34 – $56.34
4	Humana all payor fee schedule · outpatient	$66.84	$66.84	$66.84 – $66.84
5	MultiPlan all payor fee schedule · outpatient	$68.61	$68.61	$68.61 – $68.61
6	Aetna all payor fee schedule · outpatient	$84.02	$84.02	$84.02 – $84.02
7	UnitedHealthcare all payor fee schedule · outpatient	$89.83	$89.83	$89.83 – $89.83
8	Humana all payor percent of total billed charges · outpatientfrom % of charges	$100.90	$100.90	$100.90 – $100.90
9	Ambetter all payor other · outpatient	$116.35	$116.35	$116.35 – $116.35
10	Cigna Healthspring all payor other · outpatient	$160.90	$157.29	$115.20 – $195.77
11	Humana all payor other · outpatient	$160.90	$157.29	$115.20 – $195.77
12	WellCare all payor other · outpatient	$160.90	$157.29	$115.20 – $195.77
13	Molina all payor other · outpatient	$162.51	$158.86	$116.35 – $197.73
14	Optum all payor other · outpatient	$160.90	$165.82	$140.80 – $195.77
15	UnitedHealthcare all payor other · outpatient	$160.90	$165.82	$140.80 – $195.77
16	Aetna all payor other · outpatient	$166.40	$166.40	$166.40 – $166.40
17	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$166.40	$166.40	$166.40 – $166.40
18	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$192.00	$192.00	$192.00 – $192.00

Last updated: Apr 1, 2026

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