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
PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
Albany, NY
See all hospitals reporting CPT 99214 →Price type
Albany Medical Center Hospital’s median price of $120 is 25% below the median hospital's median price ($159), higher than 29% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 65 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient | $75.19 | $75.19 | $75.19 – $75.19 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $77.36 | $77.36 | $77.36 – $77.36 |
| 3 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $77.46 | $77.46 | $77.46 – $77.46 |
| 4 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $77.47 | $77.47 | $77.47 – $77.47 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $77.84 | $77.84 | $77.84 – $77.84 |
| 6 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $85.21 | $85.21 | $85.21 – $85.21 |
| 7 | Tricare all products_physician_fac professional · fee schedule · outpatient | $91.13 | $91.13 | $91.13 – $91.13 |
| 8 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $91.14 | $91.14 | $91.14 – $91.14 |
| 9 | Highmark medicaid_fac professional · fee schedule · outpatient | $91.14 | $91.14 | $91.14 – $91.14 |
| 10 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $91.14 | $91.14 | $91.14 – $91.14 |
| 11 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $93.29 | $93.29 | $93.29 – $93.29 |
| 12 | Highmark medicare_midlevel_nof professional · fee schedule · outpatient | $93.93 | $93.93 | $93.93 – $93.93 |
| 13 | Highmark medicare_midlevel_off professional · fee schedule · outpatient | $93.93 | $93.93 | $93.93 – $93.93 |
| 14 | Aetna medicare_fac professional · fee schedule · outpatient | $94.79 | $94.79 | $94.79 – $94.79 |
| 15 | Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient | $99.75 | $99.75 | $99.75 – $99.75 |
| 16 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $100.25 | $100.25 | $100.25 – $100.25 |
| 17 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $102.77 | $102.77 | $102.77 – $102.77 |
| 18 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $102.77 | $102.77 | $102.77 – $102.77 |
| 19 | Cigna commercial-select-exchange_fac professional · fee schedule · outpatient | $109.74 | $109.74 | $109.74 – $109.74 |
| 20 | Highmark medicare_nof professional · fee schedule · outpatient | $110.51 | $110.51 | $110.51 – $110.51 |
| 21 | Highmark medicare_off professional · fee schedule · outpatient | $110.51 | $110.51 | $110.51 – $110.51 |
| 22 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $113.05 | $113.05 | $113.05 – $113.05 |
| 23 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient | $120.91 | $120.91 | $120.91 – $120.91 |
| 24 | Highmark medicaid_nonfac professional · fee schedule · outpatient | $120.91 | $120.91 | $120.91 – $120.91 |
| 25 | Tricare all products_physician_nonfac professional · fee schedule · outpatient | $120.91 | $120.91 | $120.91 – $120.91 |
Last updated: Dec 31, 2025
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.