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
VISIT OB TRIAGE ESTABLISHED LEVEL 4
Susanville, CA
See all hospitals reporting CPT 99214 →Price type
Banner Lassen Medical Center’s median price of $475 is 199% above the median hospital's median price ($159), higher than 96% 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: 6 payers, 11 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 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $566.83 | $566.83 | $200.90 – $932.75 |
| 2 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $566.83 | $566.83 | $200.90 – $932.75 |
| 3 | Bcbs Ca calpers ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,203 | $1,203 | $426.30 – $1,979 |
| 4 | Bcbs Ca calpers ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,203 | $1,203 | $426.30 – $1,979 |
| 5 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,244 | $1,244 | $441.00 – $2,048 |
| 6 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,244 | $1,244 | $441.00 – $2,048 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,286 | $1,286 | $455.70 – $2,116 |
| 8 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,313 | $1,313 | $465.50 – $2,161 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,313 | $1,313 | $465.50 – $2,161 |
| 10 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1,327 | $1,327 | $470.40 – $2,184 |
| 11 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,327 | $1,327 | $470.40 – $2,184 |
Last updated: Feb 12, 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.