Outpatient office visit, established patient, level 4 at AMH Cath Labs LLC

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

99214 EST PATIENT E&M LVL IV

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $219 is 38% above the median hospital's median price ($159), higher than 68% 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 AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$39.38	$66.43	$30.44 – $129.47
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$39.38	$66.43	$30.44 – $129.47
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$41.37	$69.79	$31.98 – $136.02
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$42.52	$71.73	$32.87 – $139.80
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$43.32	$73.07	$33.48 – $142.42
6	Blue Cross Blue Shield exchange fee schedule · outpatient	$117.37	$117.37	$117.37 – $117.37
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$131.75	$131.75	$131.75 – $131.75
8	Humana medicare advantage case rate · outpatient	$137.02	$137.02	$137.02 – $137.02
9	Humana medicare advantage ppo case rate · outpatient	$137.02	$137.02	$137.02 – $137.02
10	Molina medicare advantage case rate · outpatient	$138.33	$138.33	$138.33 – $138.33
11	WellCare medicare advantage hmo case rate · outpatient	$138.33	$138.33	$138.33 – $138.33
12	WellCare medicare advantage mmp case rate · outpatient	$144.92	$144.92	$144.92 – $144.92
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$146.24	$146.24	$146.24 – $146.24
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$148.87	$148.87	$148.87 – $148.87
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$223.15	$223.15	$223.15 – $223.15
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$247.95	$247.95	$247.95 – $247.95
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$181.69	$306.48	$140.43 – $597.32
18	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$228.86	$386.05	$176.88 – $752.40
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$242.27	$408.67	$187.25 – $796.48
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$242.49	$409.04	$187.42 – $797.20
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$244.61	$412.62	$189.06 – $804.19
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$307.54	$518.76	$237.69 – $1,011
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$308.42	$520.25	$238.37 – $1,014
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$310.19	$523.24	$239.74 – $1,020
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$310.19	$523.24	$239.74 – $1,020

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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