Outpatient office visit, established patient, level 5 at St. Frances Cabrini 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

HC 99215 OFC/OUTPATIENT VISIT, EST 5

Alexandria, LA

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Pricing by billing methodology

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How this price compares nationally

St. Frances Cabrini Hospital’s median price of $242 is 15% above the median hospital's median price ($210), higher than 59% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99215 at St. Frances Cabrini Hospital

Negotiated rates from the hospital’s own file: 10 payers, 20 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	Amerihealth Caritas km fee schedule · outpatient	$56.77	$56.77	$56.77 – $56.77
2	UnitedHealthcare km fee schedule · outpatient	$56.77	$56.77	$56.77 – $56.77
3	Humana healthy horizons km fee schedule · outpatient	$57.91	$57.91	$57.91 – $57.91
4	Aetna km fee schedule · outpatient	$59.61	$59.61	$59.61 – $59.61
5	Aetna mm percent of total billed charges · outpatientfrom % of charges	$70.44	$67.32	$40.20 – $92.88
6	Bcbs La hmo fee schedule · outpatient	$89.39	$89.39	$89.39 – $89.39
7	Bcbs La ppo fee schedule · outpatient	$89.39	$89.39	$89.39 – $89.39
8	Bcbs La trad fee schedule · outpatient	$89.39	$89.39	$89.39 – $89.39
9	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$140.88	$134.64	$80.40 – $185.76
10	Bcbs La mm percent of total billed charges · outpatientfrom % of charges	$293.50	$280.50	$167.50 – $387.00
11	Aetna new business percent of total billed charges · outpatientfrom % of charges	$349.27	$333.80	$194.30 – $472.14
12	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$349.27	$333.80	$197.65 – $464.40
13	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$352.20	$336.60	$201.00 – $464.40
14	Humana choicecare fee schedule · outpatient	$347.68	$347.68	$347.68 – $347.68
15	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$410.90	$392.70	$227.80 – $557.28
16	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$410.90	$392.70	$234.50 – $541.80
17	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$410.90	$392.70	$234.50 – $541.80
18	First Health ppo percent of total billed charges · outpatientfrom % of charges	$498.95	$476.85	$284.75 – $657.90
19	UnitedHealthcare va ccn mm percent of total billed charges · outpatientfrom % of charges	$587.00	$561.00	$335.00 – $774.00
20	Humana choicecare per diem · outpatient	$1,386	$1,386	$1,386 – $1,386

Last updated: Jan 13, 2026

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