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
Office/outpatient visit est
Portage, WI
See all hospitals reporting CPT 99214 →Price type
Aspirus Divine Savior Hospital’s median price of $227 is 42% above the median hospital's median price ($159), higher than 69% 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: 9 payers, 24 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 | UnitedHealthcare united healthcare wisconsin medicaid plans fee schedule · both | $75.87 | $75.87 | $75.87 – $75.87 |
| 2 | UnitedHealthcare va community care network fee schedule · both | $78.12 | $78.12 | $78.12 – $78.12 |
| 3 | Anthem anthem wisconsin medicaid plans fee schedule · both | $87.29 | $87.29 | $87.29 – $87.29 |
| 4 | Tricare tricare plans fee schedule · both | $93.75 | $93.75 | $93.75 – $93.75 |
| 5 | MultiPlan phcs ppo networks fee schedule · both | $101.09 | $101.09 | $101.09 – $101.09 |
| 6 | Anthem anthem mediblue dual hmo snp fee schedule · both | $101.26 | $101.26 | $101.26 – $101.26 |
| 7 | Anthem anthem mediblue access ppo fee schedule · both | $104.68 | $104.68 | $104.68 – $104.68 |
| 8 | Anthem anthem mediblue plus hmo fee schedule · both | $119.38 | $119.38 | $119.38 – $119.38 |
| 9 | Anthem anthem medicare advantage plans fee schedule · both | $119.38 | $119.38 | $119.38 – $119.38 |
| 10 | MultiPlan health eos ppos network plans fee schedule · both | $195.49 | $195.49 | $195.49 – $195.49 |
| 11 | Anthem anthem blue preferred pos fee schedule · both | $205.06 | $205.06 | $205.06 – $205.06 |
| 12 | Anthem anthem blue preferred hmo fee schedule · both | $218.57 | $218.57 | $218.57 – $218.57 |
| 13 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks fee schedule · both | $219.18 | $219.18 | $219.18 – $219.18 |
| 14 | Anthem anthem federal employee program fee schedule · both | $226.10 | $226.10 | $226.10 – $226.10 |
| 15 | Anthem anthem blue access ppo fee schedule · both | $227.08 | $227.08 | $227.08 – $227.08 |
| 16 | Anthem anthem blue traditional network fee schedule · both | $255.04 | $255.04 | $255.04 – $255.04 |
| 17 | First Health first health national rental ppo network fee schedule · both | $256.77 | $256.77 | $256.77 – $256.77 |
| 18 | Aetna medicare advantage esa fee schedule · both | $278.91 | $278.91 | $278.91 – $278.91 |
| 19 | MultiPlan multiplan ppo network plans fee schedule · both | $288.04 | $288.04 | $288.04 – $288.04 |
| 20 | Humana humana medicare ppo/pos/hmo network plans fee schedule · both | $288.19 | $288.19 | $288.19 – $288.19 |
| 21 | Cigna cigna ppo and open access plus benefit plans fee schedule · both | $288.64 | $288.64 | $288.64 – $288.64 |
| 22 | Healthpartners health partners commercial ppo fee schedule · both | $299.14 | $299.14 | $299.14 – $299.14 |
| 23 | UnitedHealthcare united healthcare medicare advantage plans fee schedule · both | $299.79 | $299.79 | $299.79 – $299.79 |
| 24 | MultiPlan aetna health plan ppo networks fee schedule · both | $312.76 | $312.76 | $312.76 – $312.76 |
Last updated: Apr 1, 2026
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.