Outpatient office visit, established patient, level 5 at St. Peter's Health

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 OFFICE/OUTPATIENT VISIT EST LEVEL 5

Helena, MT

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Pricing by billing methodology

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How this price compares nationally

St. Peter's Health’s median price of $265 is 26% above the median hospital's median price ($210), higher than 64% 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. Peter's Health

Negotiated rates from the hospital’s own file: 4 payers, 13 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 medicare replacement fee schedule · outpatient	$142.64	$142.64	$142.64 – $142.64
2	Humana medicare replacement fee schedule · outpatient	$145.49	$145.49	$145.49 – $145.49
3	Bcbs Mt closed plan network percent of total billed charges · outpatientfrom % of charges	$209.86	$209.86	$209.86 – $209.86
4	Bcbs Mt healthlink percent of total billed charges · outpatientfrom % of charges	$209.86	$209.86	$209.86 – $209.86
5	Bcbs Mt pos percent of total billed charges · outpatientfrom % of charges	$209.86	$209.86	$209.86 – $209.86
6	Bcbs Mt traditional percent of total billed charges · outpatientfrom % of charges	$229.98	$229.98	$229.98 – $229.98
7	UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges	$265.47	$265.47	$265.47 – $265.47
8	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$265.47	$265.47	$265.47 – $265.47
9	Bcbs Mt closed plan network percent of total billed charges · inpatientfrom % of charges	$269.38	$269.38	$269.38 – $269.38
10	Bcbs Mt healthlink percent of total billed charges · inpatientfrom % of charges	$269.38	$269.38	$269.38 – $269.38
11	Bcbs Mt pos percent of total billed charges · inpatientfrom % of charges	$269.38	$269.38	$269.38 – $269.38
12	Bcbs Mt traditional percent of total billed charges · inpatientfrom % of charges	$275.53	$275.53	$275.53 – $275.53
13	Bcbs Mt state of montana employees fee schedule · outpatient	$327.36	$327.36	$327.36 – $327.36

Last updated: Mar 16, 2026

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