Outpatient office visit, established patient, level 4 at Acadia Hospital

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

Office o/p est mod 30 min

Bangor, ME

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Pricing by billing methodology

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How this price compares nationally

Acadia Hospital’s median price of $256 is 61% above the median hospital's median price ($159), higher than 75% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Acadia Hospital

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Optum commercial professional · fee schedule · outpatient	$77.29	$77.29	$66.73 – $87.85
2	Aetna mcr advantage professional · fee schedule · outpatient	$104.10	$104.10	$89.77 – $118.42
3	Anthem mcr advantage professional · fee schedule · outpatient	$104.10	$104.10	$89.77 – $118.42
4	Optum mcr advantage professional · fee schedule · outpatient	$106.18	$106.18	$91.57 – $120.79
5	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$106.18	$106.18	$91.57 – $120.79
6	WellCare mcr advantage professional · fee schedule · outpatient	$106.18	$106.18	$91.57 – $120.79
7	Anthem commercial professional · fee schedule · outpatient	$142.21	$142.21	$120.84 – $163.57
8	UnitedHealthcare commercial professional · fee schedule · outpatient	$156.39	$156.39	$133.09 – $179.69
9	Aetna commercial professional · fee schedule · outpatient	$182.17	$182.17	$157.10 – $207.24
10	Aetna mcr advantage both · percent of total billed charges · outpatientfrom % of charges	$186.32	$186.32	$186.32 – $186.32
11	Aetna mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$186.32	$186.32	$186.32 – $186.32
12	Aetna commercial professional · percent of total billed charges · inpatientfrom % of charges	$254.32	$254.32	$254.32 – $254.32
13	Anthem commercial both · percent of total billed charges · outpatientfrom % of charges	$256.19	$256.19	$256.19 – $256.19
14	Anthem enhanced pathways both · percent of total billed charges · outpatientfrom % of charges	$256.19	$256.19	$256.19 – $256.19
15	Anthem commercial professional · percent of total billed charges · outpatientfrom % of charges	$256.19	$256.19	$256.19 – $256.19
16	Anthem enhanced pathways professional · percent of total billed charges · outpatientfrom % of charges	$256.19	$256.19	$256.19 – $256.19
17	Aetna commercial both · percent of total billed charges · outpatientfrom % of charges	$262.82	$262.82	$262.82 – $262.82
18	Aetna commercial professional · percent of total billed charges · outpatientfrom % of charges	$262.82	$262.82	$262.82 – $262.82
19	Cigna commercial both · percent of total billed charges · outpatientfrom % of charges	$329.80	$329.80	$329.80 – $329.80
20	Cigna commercial professional · percent of total billed charges · inpatientfrom % of charges	$329.80	$329.80	$329.80 – $329.80
21	Cigna commercial professional · percent of total billed charges · outpatientfrom % of charges	$329.80	$329.80	$329.80 – $329.80

Last updated: Mar 30, 2026

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