Outpatient office visit, established patient, level 5 at The Charlotte Mecklenburg Hospital Authority

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

OFFICE O/P EST HI 40 MIN

Concord, NC

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Pricing by billing methodology

Price type

How this price compares nationally

The Charlotte Mecklenburg Hospital Authority’s median price of $169 is 20% below the median hospital's median price ($210), higher than 36% 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 The Charlotte Mecklenburg Hospital Authority

Negotiated rates from the hospital’s own file: 8 payers, 22 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 managed medicaid fee schedule · both	$110.30	$110.30	$110.30 – $110.30
2	UnitedHealthcare managed medicaid fee schedule · both	$110.30	$110.30	$110.30 – $110.30
3	WellCare managed medicaid fee schedule · both	$110.30	$110.30	$110.30 – $110.30
4	Cigna Healthspring medicare advantage fee schedule · both	$133.43	$133.43	$133.43 – $133.43
5	Humana medicare advantage fee schedule · both	$136.10	$136.10	$136.10 – $136.10
6	Aetna medicare advantage fee schedule · both	$138.10	$138.10	$138.10 – $138.10
7	UnitedHealthcare medicare advantage case rate · both	$138.48	$138.48	$138.48 – $138.48
8	UnitedHealthcare iex commercial fee schedule · both	$165.16	$165.16	$165.16 – $165.16
9	Bcbs Nc local group commercial fee schedule · both	$167.74	$167.74	$167.74 – $167.74
10	Humana medicare advantage fee schedule · outpatient	$170.92	$170.92	$170.92 – $170.92
11	Aetna medicare advantage fee schedule · outpatient	$173.44	$173.44	$173.44 – $173.44
12	Cigna Healthspring medicare advantage fee schedule · outpatient	$175.95	$175.95	$175.95 – $175.95
13	UnitedHealthcare medicare advantage fee schedule · outpatient	$176.47	$176.47	$176.47 – $176.47
14	Bcbs Nc local individual commercial fee schedule · both	$177.25	$177.25	$177.25 – $177.25
15	UnitedHealthcare hmo-ppo managed care fee schedule · both	$214.86	$214.86	$214.86 – $214.86
16	Bcbs Nc hmo-ppo managed care fee schedule · both	$220.71	$220.71	$220.71 – $220.71
17	Aetna whole health hmo fee schedule · both	$231.08	$231.08	$231.08 – $231.08
18	Medcost ppo fee schedule · both	$232.15	$232.15	$232.15 – $232.15
19	Medcost ultra fee schedule · both	$232.15	$232.15	$232.15 – $232.15
20	Aetna north carolina preferred plus commercial fee schedule · both	$336.29	$336.29	$336.29 – $336.29
21	Aetna broad network fee schedule · both	$371.51	$371.51	$371.51 – $371.51
22	Aetna commercial fee schedule · both	$395.83	$395.83	$395.83 – $395.83

Last updated: Dec 1, 2025

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