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 O/P Consultation, New or Estab Pt, Level 5, (55+ Min)
Gary, IN
See all hospitals reporting CPT 99245 →Price type
The Methodist Hospitals, Inc.’s median price of $162 is 38% below the median hospital's median price ($261), higher than 17% of the 1,112 hospitals reporting CPT 99245. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 17 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Anthem individual on exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem pathway essentials facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | UnitedHealthcare navigate and core payer facility · other · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 9 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 10 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 11 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
| 12 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $162 | $162 | — | — | — | $162 – $162 |
| 13 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 14 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $263 | $263 | — | — | — | $263 – $263 |
| 15 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $287 | $287 | — | — | — | $287 – $287 |
| 16 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $308 | $308 | — | — | — | $308 – $308 |
| 17 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
Last updated: Aug 18, 2026
See Outpatient specialist consultation, high complexity visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.