Brief outpatient follow-up visit with established patient at St.davids Surgical Hospital

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

REM/ADJ DEV/CATH ONLY EP

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

St.davids Surgical Hospital’s median price of $665 is 883% above the median hospital's median price ($68), higher than 99% of the 2,137 hospitals reporting CPT 99211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99211 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 10 payers, 34 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 mybluehealth fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
2	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
3	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
4	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
5	Blue Cross Blue Shield eposoa fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
6	Blue Cross Blue Shield ppo fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$330	$330	—	—	—	$330 – $330
10	Oscar hix percent of total billed charges · outpatientfrom % of charges	$373	$373	—	—	—	$373 – $373
11	Oscar hmo percent of total billed charges · outpatientfrom % of charges	$373	$373	—	—	—	$373 – $373
12	Oscar epo percent of total billed charges · outpatientfrom % of charges	$416	$416	—	—	—	$416 – $416
13	Oscar pos percent of total billed charges · outpatientfrom % of charges	$416	$416	—	—	—	$416 – $416
14	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$416	$416	—	—	—	$416 – $416
15	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$484	$484	—	—	—	$484 – $484
16	Humana hmo percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
17	Humana ppo percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
18	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$565	$565	—	—	—	$565 – $565
19	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
20	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$583	$583	—	—	—	$583 – $583
21	Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges	$624	$624	—	—	—	$624 – $624
22	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$665	$665	—	—	—	$665 – $665
23	Cigna openaccess percent of total billed charges · outpatientfrom % of charges	$665	$665	—	—	—	$665 – $665
24	Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges	$665	$665	—	—	—	$665 – $665
25	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$797	$797	—	—	—	$797 – $797

Page 1 of 2 · 34 rates

Last updated: Sep 1, 2026

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