Outpatient office visit, established patient at St Martin Hospital 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 MINPR OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN

Breaux Bridge, LA

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Pricing by billing methodology

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How this price compares nationally

St Martin Hospital Inc’s median price of $80 is 36% below the median hospital's median price ($124), higher than 22% 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 St Martin Hospital Inc

Negotiated rates from the hospital’s own file: 10 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	Aetna Better Health all payor fee schedule · outpatient	$41.53	$41.03	$38.00 – $41.53
2	Amerihealth Caritas all payor fee schedule · outpatient	$41.53	$41.03	$38.00 – $41.53
3	Humana all payor fee schedule · outpatient	$41.53	$50.46	$38.00 – $61.47
4	Optum all payor fee schedule · outpatient	$61.47	$61.47	$61.47 – $61.47
5	UnitedHealthcare all payor fee schedule · outpatient	$61.57	$65.46	$38.00 – $86.70
6	Aetna all payor fee schedule · outpatient	$66.11	$69.73	$61.47 – $87.53
7	Tricare all payor fee schedule · outpatient	$62.96	$71.99	$62.96 – $85.54
8	Cigna all payor fee schedule · outpatient	$67.63	$76.39	$67.63 – $89.54
9	WellCare all payor fee schedule · outpatient	$79.91	$79.91	$79.91 – $79.91
10	Tricare all payor percent of total billed charges · outpatientfrom % of charges	$88.27	$88.27	$88.27 – $88.27
11	Bcbs La all payor fee schedule · outpatient	$173.22	$137.32	$61.47 – $263.65
12	Aetna Better Health all payor other · outpatient	$143.07	$143.07	$143.07 – $143.07
13	Amerihealth Caritas all payor other · outpatient	$143.07	$143.07	$143.07 – $143.07
14	Humana all payor other · outpatient	$143.07	$168.72	$76.12 – $217.51
15	UnitedHealthcare all payor other · outpatient	$143.07	$168.72	$76.12 – $217.51
16	Aetna all payor other · outpatient	$217.51	$189.23	$76.12 – $217.51
17	Bcbs La all payor other · outpatient	$217.51	$189.23	$76.12 – $217.51
18	Optum all payor other · outpatient	$217.51	$189.23	$76.12 – $217.51
19	WellCare all payor other · outpatient	$217.51	$189.23	$76.12 – $217.51
20	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$259.50	$259.50	$259.50 – $259.50
21	Aetna all payor percent of total billed charges · outpatientfrom % of charges	$314.86	$314.86	$314.86 – $314.86

Last updated: Apr 1, 2026

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