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.
Original text from hospital filings
HC CLINIC VISIT EST PATIENT LEVEL 5
Macon, GA
See all hospitals reporting CPT 99215 →Price type
The Medical Center of Central Georgia Inc’s median price of $197 is 6% below the median hospital's median price ($210), higher than 46% of the 1,976 hospitals reporting CPT 99215. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 42 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 medicare advantage fee schedule · both | $134.77 | $134.77 | $134.77 – $134.77 |
| 2 | Anthem medicare advantage fee schedule · both | $134.77 | $134.77 | $134.77 – $134.77 |
| 3 | Humana medicare advantage fee schedule · both | $134.77 | $134.77 | $134.77 – $134.77 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $134.77 | $134.77 | $134.77 – $134.77 |
| 5 | Caresource medicare advantage fee schedule · both | $137.47 | $137.47 | $137.47 – $137.47 |
| 6 | Clover medicare advantage fee schedule · both | $137.47 | $137.47 | $137.47 – $137.47 |
| 7 | Aetna medicare advantage fee schedule · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 8 | Anthem medicare advantage fee schedule · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 9 | Humana medicare advantage fee schedule · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 10 | UnitedHealthcare medicare advantage fee schedule · outpatient | $167.33 | $167.33 | $167.33 – $167.33 |
| 11 | Caresource medicare advantage fee schedule · outpatient | $170.68 | $170.68 | $170.68 – $170.68 |
| 12 | Clover medicare advantage fee schedule · outpatient | $170.68 | $170.68 | $170.68 – $170.68 |
| 13 | MultiPlan pho agreement primary network percent of total billed charges · bothfrom % of charges | $174.85 | $174.85 | $144.95 – $204.75 |
| 14 | Aetna hmo fee schedule · both | $177.00 | $177.00 | $177.00 – $177.00 |
| 15 | Aetna pos fee schedule · both | $177.00 | $177.00 | $177.00 – $177.00 |
| 16 | Ambetter managed medicaid fee schedule · both | $181.94 | $181.94 | $181.94 – $181.94 |
| 17 | Cigna commercial fee schedule · both | $185.97 | $185.97 | $185.97 – $185.97 |
| 18 | Aetna ppo fee schedule · both | $197.00 | $197.00 | $197.00 – $197.00 |
| 19 | UnitedHealthcare commercial fee schedule · both | $201.85 | $201.85 | $201.85 – $201.85 |
| 20 | Humana hmo/pos fee schedule · both | $204.54 | $204.54 | $204.54 – $204.54 |
| 21 | Humana ppo fee schedule · both | $204.54 | $204.54 | $204.54 – $204.54 |
| 22 | Beechstreet commercial percent of total billed charges · bothfrom % of charges | $215.20 | $215.20 | $178.40 – $252.00 |
| 23 | MultiPlan pho agreement complimentary network percent of total billed charges · bothfrom % of charges | $215.20 | $215.20 | $178.40 – $252.00 |
| 24 | Kaiser commercial fee schedule · both | $224.68 | $224.68 | $224.68 – $224.68 |
| 25 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $263.70 | $263.70 | $263.70 – $263.70 |
Last updated: Nov 19, 2025
See Outpatient office visit, established patient, level 5 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.