Outpatient office visit, established patient, level 4 at Appalachian Regional Healthcare, Inc.

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 VISIT LEVEL 4 EST

McDowell, KY

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Pricing by billing methodology

Price type

How this price compares nationally

Appalachian Regional Healthcare, Inc.’s median price of $59 is 63% below the median hospital's median price ($159), higher than 3% 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 Appalachian Regional Healthcare, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 17 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	Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
2	Anthem medicaid percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
3	Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
4	Humana medicaid percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
5	Humana medicare percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
6	Optum veterans affairs plan percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
7	WellCare medicare percent of total billed charges · outpatientfrom % of charges	$38.42	$37.97	$18.53 – $56.95
8	WellCare medicaid percent of total billed charges · outpatientfrom % of charges	$38.80	$38.35	$18.72 – $57.52
9	Molina medicaid percent of total billed charges · outpatientfrom % of charges	$39.19	$38.73	$18.90 – $58.09
10	Aetna medicare percent of total billed charges · outpatientfrom % of charges	$58.76	$58.07	$28.34 – $87.10
11	WellCare medicaid fee schedule · outpatient	$61.98	$61.98	$61.98 – $61.98
12	UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges	$83.62	$82.63	$40.33 – $123.95
13	Aetna medicare fee schedule · outpatient	$82.78	$82.78	$82.78 – $82.78
14	Optum veterans affairs plan fee schedule · outpatient	$82.78	$82.78	$82.78 – $82.78
15	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$168.14	$166.16	$81.10 – $249.24
16	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$192.66	$190.38	$90.54 – $292.89
17	Aetna commercial percent of total billed charges · bothfrom % of charges	$198.88	$196.53	$95.92 – $294.80

Last updated: Jan 1, 2026

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