Outpatient new patient office visit, high complexity at Rush Medical Foundation

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, NEW, LEVL V, 60-74 MIN

Meridian, MS

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Pricing by billing methodology

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How this price compares nationally

Rush Medical Foundation’s median price of $217 is 15% below the median hospital's median price ($257), higher than 39% of the 1,937 hospitals reporting CPT 99205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99205 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 17 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	Molina all payor fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
2	Humana all payor fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
3	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
4	Molina all payor other · outpatient	$164	$176	$36	20%	—	$133 – $249
5	Cigna Healthspring all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
6	Humana all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
7	Optum all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
8	UnitedHealthcare all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
9	WellCare all payor other · outpatient	$186	$198	$35	18%	—	$162 – $246
10	Bcbs Ms all payor fee schedule · outpatient	$217	$202	$39	19%	—	$91 – $217
11	Cigna all payor fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
12	MultiPlan all payor fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
13	Aetna all payor fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
14	UnitedHealthcare all payor fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
15	Aetna all payor other · outpatient	$257	$257	—	—	—	$257 – $257
16	Ambetter all payor fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
17	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	—	$296 – $296

Last updated: Apr 1, 2026

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