Outpatient office visit, established patient at Temple Women & Families 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 OHS VISIT CHG ESTAB LVL 3

Philadelphia, PA

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Pricing by billing methodology

Price type

How this price compares nationally

Temple Women & Families Hospital’s median price of $86 is 31% below the median hospital's median price ($124), higher than 26% 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 Temple Women & Families Hospital

Negotiated rates from the hospital’s own file: 7 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 coventry facility · percent of total billed charges · outpatientfrom % of charges	$31.08	$31.08	$30.50 – $31.66
2	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$31.08	$31.08	$30.50 – $31.66
3	Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges	$48.91	$48.91	$48.00 – $49.82
4	Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges	$48.91	$48.91	$48.00 – $49.82
5	Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges	$56.20	$56.20	$55.15 – $57.25
6	Bcbs Nj medicare advantage facility · fee schedule · outpatient	$59.26	$59.26	$59.26 – $59.26
7	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$69.29	$69.29	$68.00 – $70.58
8	Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges	$76.43	$76.43	$75.00 – $77.85
9	Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges	$76.43	$76.43	$75.00 – $77.85
10	Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges	$76.43	$76.43	$75.00 – $77.85
11	Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges	$86.62	$86.62	$85.00 – $88.23
12	Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$127.38	$127.38	$125.00 – $129.75
13	Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges	$131.05	$131.05	$128.60 – $133.49
14	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$137.06	$137.06	$134.50 – $139.61
15	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$137.06	$137.06	$134.50 – $139.61
16	Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges	$137.06	$137.06	$134.50 – $139.61
17	Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges	$168.80	$168.80	$165.65 – $171.94
18	Bcbs Pa hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$172.21	$172.21	$169.00 – $175.42
19	Bcbs Pa temple member facility · percent of total billed charges · outpatientfrom % of charges	$172.21	$172.21	$169.00 – $175.42
20	UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges	$173.23	$173.23	$170.00 – $176.46
21	UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges	$173.23	$173.23	$170.00 – $176.46

Last updated: Apr 13, 2026

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