Outpatient office visit, established patient 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, EST, LEVL III, 20-29 MIN

Quitman, MS

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Pricing by billing methodology

Price type

How this price compares nationally

Rush Medical Foundation’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 Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 21 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	$54.64	$54.64	$54.64 – $54.64
2	Cigna all payor fee schedule · outpatient	$56.34	$56.34	$56.34 – $56.34
3	Humana all payor fee schedule · outpatient	$66.84	$66.84	$66.84 – $66.84
4	MultiPlan all payor fee schedule · outpatient	$68.61	$68.61	$68.61 – $68.61
5	Aetna all payor fee schedule · outpatient	$84.02	$84.02	$84.02 – $84.02
6	Bcbs Ms all payor fee schedule · outpatient	$88.87	$89.45	$88.87 – $127.94
7	UnitedHealthcare all payor fee schedule · outpatient	$89.83	$89.83	$89.83 – $89.83
8	Ambetter all payor fee schedule · outpatient	$114.44	$114.44	$114.44 – $114.44
9	Humana all payor percent of total billed charges · outpatientfrom % of charges	$119.85	$119.85	$119.85 – $119.85
10	Cigna all payor other · outpatient	$142.59	$142.59	$142.59 – $142.59
11	Ambetter all payor other · outpatient	$149.96	$149.96	$149.96 – $149.96
12	Aetna all payor percent of total billed charges · outpatientfrom % of charges	$166.40	$166.40	$166.40 – $166.40
13	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$166.40	$166.40	$166.40 – $166.40
14	Molina all payor other · outpatient	$163.58	$176.00	$132.94 – $248.63
15	MultiPlan all payor percent of total billed charges · outpatientfrom % of charges	$192.00	$192.00	$192.00 – $192.00
16	Cigna Healthspring all payor other · outpatient	$185.75	$196.50	$148.48 – $246.17
17	Humana all payor other · outpatient	$185.75	$196.50	$148.48 – $246.17
18	Optum all payor other · outpatient	$185.75	$196.50	$148.48 – $246.17
19	UnitedHealthcare all payor other · outpatient	$185.75	$196.50	$148.48 – $246.17
20	WellCare all payor other · outpatient	$185.75	$196.55	$149.96 – $246.17
21	Bcbs Ms all payor other · outpatient	$204.80	$204.80	$204.80 – $204.80

Last updated: Apr 1, 2026

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