Follow-up visit with a doctor

What the hospital lists

• CONSULTANT OUTPATIENT ES LEVEL 3

  Outpatient · billing class not stated

  $23.22
• ESTABLISHED PATIENT LEVEL 3

  Outpatient · billing class not stated

  $23.22
• OB TRIAGE LEVEL 3

  Inpatient or outpatient · billing class not stated

  $84.23
• ESTABLISHED PATIENT LEVEL 3

  Inpatient or outpatient · billing class not stated

  $85.06
• OFFICE VISIT ESTAB PATIENT LEVEL 3

  Outpatient · billing class not stated

  $111.65
• PVPC ESTABLISHED PATIENT INTERMEDIATE

  Outpatient · billing class not stated

  $126.29
• ESTABLISH PATIENT (LEVEL 3) - POD CLINIC

  Inpatient or outpatient · billing class not stated

  $126.86
• ESTABLISH PATIENT (LEVEL 3) - POD PROF

  Inpatient or outpatient · billing class not stated

  $126.86
• ESTABLISH PATIENT (LEVEL 3) - POD PROF

  Inpatient or outpatient · billing class not stated

  $126.86
• OH Est Patient Level 3

  Outpatient · billing class not stated

  $136.28
• OH Est Patient Level 3

  Outpatient · billing class not stated

  $136.28
• CONSULTANT OUTPATIENT ES LEVEL 3

  Outpatient · billing class not stated

  $140.02
• ESTABLISHED PATIENT LEVEL 3

  Inpatient or outpatient · billing class not stated

  $140.02
• ESTABLISHED PATIENT PAIN MANAGE LEVEL 3

  Inpatient or outpatient · billing class not stated

  $140.02
• ESTABLISHED PATIENT UROLOGY LEVEL 3

  Inpatient or outpatient · billing class not stated

  $140.02
• PSY TX EXPANDED PROBLEM FOCUSED 13-20

  Outpatient · billing class not stated

  $142.03
• PSY TX EXPANDED PROBLEM FOCUSED 13-20

  Inpatient or outpatient · billing class not stated

  $142.03
• ESTABLISHED PATIENT LEVEL 3 ORTHO

  Outpatient · billing class not stated

  $145.62
• THORACENTESIS/PARACENTESIS

  Inpatient or outpatient · billing class not stated

  $147.49
• ESTABLISHED PATIENT LEVEL 3

  Inpatient or outpatient · billing class not stated

  $163.20
• ESTABLISHED PATIENT INTERMEDIATE

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDIATE

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE PAIN M

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE PAIN M

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE UROLGY

  Inpatient or outpatient · billing class not stated

  $166.06
• ESTABLISHED PATIENT INTERMEDICATE UROLGY

  Inpatient or outpatient · billing class not stated

  $166.06
• OFFICE VISIT ESTABL PATIENT LEVEL 3

  Outpatient · billing class not stated

  $166.06
• OFFICE VISIT ESTABL PATIENT LEVEL 3

  Outpatient · billing class not stated

  $166.06
• OFFICE VISIT ESTABL PATIENT LEVEL 3 ORTH

  Outpatient · billing class not stated

  $166.06
• OFFICE VISIT ESTABL PATIENT LEVEL 3 ORTH

  Outpatient · billing class not stated

  $166.06
• OFFICE CONSULT EST PAT LEVEL 3

  Outpatient · billing class not stated

  $223.44
• OFFICE CONSULT EST PAT LEVEL 3

  Outpatient · billing class not stated

  $223.44
• OFFICE CONSULT EST DETAILED

  Outpatient · billing class not stated

  $223.53
• OFFICE CONSULT EST DETAILED

  Outpatient · billing class not stated

  $223.53
• ESTABLISHED PATIENT INTERMEDICATE

  Inpatient or outpatient · billing class not stated

  $306.00
• ESTABLISHED PATIENT INTERMEDICATE

  Inpatient or outpatient · billing class not stated

  $306.00
• ESTABLISHED PATIENT INTERMEDICATE PAIN M

  Inpatient or outpatient · billing class not stated

  $306.00
• ESTABLISHED PATIENT INTERMEDICATE PAIN M

  Inpatient or outpatient · billing class not stated

  $306.00
• ESTABLISHED PATIENT INTERMEDICATE UROLGY

  Inpatient or outpatient · billing class not stated

  $306.00
• ESTABLISHED PATIENT INTERMEDICATE UROLGY

  Inpatient or outpatient · billing class not stated

  $306.00
• OFFICE VISIT ESTABL PATIENT LEVEL 3

  Outpatient · billing class not stated

  $306.00
• OFFICE VISIT ESTABL PATIENT LEVEL 3

  Outpatient · billing class not stated

  $306.00
• OFFICE VISIT ESTABL PATIENT LEVEL 3 ORTH

  Outpatient · billing class not stated

  $306.00
• OFFICE VISIT ESTABL PATIENT LEVEL 3 ORTH

  Outpatient · billing class not stated

  $306.00
• ESTAB PAT INTER UROLGY ANTHEM PV

  Inpatient or outpatient · billing class not stated

  $347.55
• ESTAB PAT INTER UROLGY ANTHEM PV

  Inpatient or outpatient · billing class not stated

  $347.55

More than one price is listed. Ask the hospital which one applies to you.

The file doesn’t say whether this covers the hospital’s charge only. Confirm what it includes.

Location and source

What the hospital lists

• AMWELL OP VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• AMWELL OP VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• ASTHMA EDUC ESTAB PT-45 MIN

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• ASTHMA EDUC ESTAB PT-45 MIN

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC EST PATIENT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC EST PATIENT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC GENETICS EST PT FAC L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC GENETICS EST PT FAC L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC THORACIC ONC OV EST FAC L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• CC THORACIC ONC OV EST FAC L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST OFFICE/OUTPT VISIT L3-FC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST OFFICE/OUTPT VISIT L3-FC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST PATIENT VISIT LEVEL 3 FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST PATIENT VISIT LEVEL 3 FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST PT VST 31-45 MIN RN/MA

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• EST PT VST 31-45 MIN RN/MA

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC EST PT OFFICE VISIT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC EST PT OFFICE VISIT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC ESTAB PT OFFICE VISIT L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC ESTAB PT OFFICE VISIT L3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC ESTAB PT OFFICE VISIT LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC ESTAB PT OFFICE VISIT LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT ESTAB LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT ESTAB LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT ESTAB LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT ESTAB LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT LVL 3 EST RES

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OFFICE VISIT LVL 3 EST RES

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP CLINIC VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP CLINIC VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP OFFICE VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OP OFFICE VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLIN VIS EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLIN VIS EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• HC OUTPT CLINIC VISIT EST LVL3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• LAC OP LACTAT F/U VISIT-EST 45

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• LAC OP LACTAT F/U VISIT-EST 45

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• MRMS ESTAB VISIT LEVEL 3-FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• MRMS ESTAB VISIT LEVEL 3-FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP HOME VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP HOME VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP HOME VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP HOME VISIT EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP VISIT EST L3-FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFF/OP VISIT EST L3-FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OFFICE VISIT EST LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OOU ESTAB PT - LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OOU ESTAB PT - LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OP WOUND CARE LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OP WOUND CARE LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OPCH EST PT VISIT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OPCH EST PT VISIT LEVEL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OSTOMY CLINIC VISIT 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• OSTOMY CLINIC VISIT 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• PLC OUTPT VISIT-EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• PLC OUTPT VISIT-EST LVL 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• STRCT HRT FACILITY LV 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• STRCT HRT FACILITY LV 3

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• VWF EST PAT VIS LVL 3 FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• VWF EST PAT VIS LVL 3 FAC

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• WIC OFFICE VISIT EST LVL 3 RES

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44
• WIC OFFICE VISIT EST LVL 3 RES

  Outpatient · hospital charge

  Note from the file: Rate only applies when calculated under All Other contract terms | No historical remittance data available for this CDM code type under the specified payer/plan, as remittances do not itemize at the CDM level.

  $34.44

More than one price is listed. Ask the hospital which one applies to you.

Location and source

What the hospital lists

• HC EST PT E/M LEVEL 3

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: standard

  $64.26
• HC EST PT OUTPT VISIT LEVEL 3

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: standard

  $157.08
• HC EST PT OUTPT VISIT LEVEL 3 W/ PROCEDURE

  Inpatient or outpatient · hospital charge

  Note from the file: Gross Charge Type: standard

  $157.08

More than one price is listed. Ask the hospital which one applies to you.

Location and source