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
HC CLINIC VISIT ESTABLISHED PT LEVEL 4
Ontario, OH
See all hospitals reporting CPT 99214 →Price type
Avita Ontario Hospital’s median price of $116 is 27% below the median hospital's median price ($159), higher than 27% 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: 8 payers, 27 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 medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.00 | $49.00 | $49.00 – $49.00 |
| 2 | Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.00 | $49.00 | $49.00 – $49.00 |
| 3 | Humana medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.00 | $49.00 | $49.00 – $49.00 |
| 4 | Molina medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.00 | $49.00 | $49.00 – $49.00 |
| 5 | UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.00 | $49.00 | $49.00 – $49.00 |
| 6 | Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges | $49.98 | $49.98 | $49.98 – $49.98 |
| 7 | Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges | $76.80 | $76.80 | $76.80 – $76.80 |
| 8 | Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $90.75 | $90.75 | $90.75 – $90.75 |
| 9 | Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges | $91.49 | $91.49 | $91.49 – $91.49 |
| 10 | Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $94.50 | $94.50 | $94.50 – $94.50 |
| 11 | Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges | $99.45 | $99.45 | $99.45 – $99.45 |
| 12 | Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges | $115.99 | $115.99 | $115.99 – $115.99 |
| 13 | Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges | $115.99 | $115.99 | $115.99 – $115.99 |
| 14 | UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges | $115.99 | $115.99 | $115.99 – $115.99 |
| 15 | Cigna commercial percent of total billed charges · bothfrom % of charges | $116.85 | $116.85 | $116.85 – $116.85 |
| 16 | Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges | $119.47 | $119.47 | $119.47 – $119.47 |
| 17 | Medical Mutual commercial percent of total billed charges · bothfrom % of charges | $120.00 | $120.00 | $120.00 – $120.00 |
| 18 | Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges | $125.44 | $125.44 | $125.44 – $125.44 |
| 19 | Aetna all_commercial percent of total billed charges · bothfrom % of charges | $127.50 | $127.50 | $127.50 – $127.50 |
| 20 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $127.50 | $127.50 | $127.50 – $127.50 |
| 21 | Anthem medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 22 | Humana medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 23 | Molina medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 24 | UnitedHealthcare medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 25 | Aetna medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
Last updated: Mar 23, 2026
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