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Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more Cost Comparison

99214 (HCPCS)

Cash prices (without insurance) for Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (CPT 99214) range from $44 to $320 across 6 hospitals in 5 states. The national average cash price is $159.

This is a follow-up visit with your doctor at their office or clinic where you discuss moderately complex health concerns that require thoughtful evaluation and decision-making, typically lasting at least 30 minutes. You might have this type of visit when managing an ongoing condition, addressing multiple health issues at once, or dealing with a new problem that needs careful assessment. During the visit, expect your doctor to review your medical history, perform an examination, discuss treatment options, and help make decisions about your care.

You could save $276 by choosing Teton Valley Hospital over St Anthony Regional Hospital & Nursing Home

Jump to state:

$316$316 · 1 hospitals

1 hospital
Cash Price
(No Insurance)
$316
Gross Charge
$395
Medicare Rate
$130
Insurance Negotiated Rates
PREMERA FIRST-ALL PLANS$158

$320$320 · 1 hospitals

1 hospital
Cash Price
(No Insurance)
$320
Gross Charge
$320
Medicare Rate
$130
Insurance Negotiated Rates
UHC MCR ADV$70

$44$227 · 2 hospitals

2 hospitals
Cash Price
(No Insurance)
$44
Gross Charge
$55
Medicare Rate
$130
Insurance Negotiated Rates
UHC MEDICARE ADVANTAGE$25
Cash Price
(No Insurance)
$227
Gross Charge
$325
Medicare Rate
$130
Insurance Negotiated Rates
FIRST CHOICE HEALTH-ALL PLANS$141

$123$123 · 1 hospitals

1 hospital
Cash Price
(No Insurance)
$123
Gross Charge
$189
Medicare Rate
$130
Insurance Negotiated Rates
HUMANA/CHOICECARE - ALL OTHER PLANS$62

$158$158 · 1 hospitals

1 hospital
Cash Price
(No Insurance)
$158
Gross Charge
$226
Medicare Rate
$130
Insurance Negotiated Rates
MPCN MCAID$67

Frequently Asked Questions

How much does Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more cost without insurance?
Cash prices for Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (CPT 99214) range from $44 to $320 across 6 hospitals in 5 states. The national average is $159.
Which hospital has the cheapest Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more?
Teton Valley Hospital has the lowest cash price for Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more at $44. The highest price is $320 at St Anthony Regional Hospital & Nursing Home.
How much can I save by comparing Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more prices?
You could save up to $276 by choosing Teton Valley Hospital ($44) over St Anthony Regional Hospital & Nursing Home ($320).

Prices shown are sourced from hospital price transparency files published under the Hospital Price Transparency Rule. Actual costs may vary based on your insurance plan, specific clinical circumstances, and additional services required. These prices are not a quote or guarantee.

This site does not provide medical advice. Always consult with your healthcare provider and insurance company before making decisions about medical care. Learn more about our data sources.