Unscheduled unlisted evaluation and management visit at The Methodist Hospitals, Inc.

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 Unlisted Evaluation and Management Service; Star/Sane Consults, >=15 Minutes

Gary, IN

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Pricing by billing methodology

Price type

How this price compares nationally

The Methodist Hospitals, Inc.’s median price of $159 is 125% above the median hospital's median price ($71), higher than 75% of the 489 hospitals reporting CPT 99499. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99499 at The Methodist Hospitals, Inc.

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	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
9	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
10	Anthem indiana hmo medicaid facility · fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
11	Caresource indiana hmo medicaid facility · fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
12	Humana indiana hmo medicaid facility · fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
13	UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient	$159	$159	—	—	—	$159 – $159
14	Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
15	Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
16	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	—	—	—	$253 – $253
17	Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256

Last updated: Aug 18, 2026

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