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 ESTABLISHED LEVEL 4
Ogallala, NE
See all hospitals reporting CPT 99214 →Price type
Banner Ogallala Community Hospital’s median price of $243 is 53% above the median hospital's median price ($159), higher than 72% 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, 15 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 | Bcbs Wy medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $111.32 | $176.88 | $111.32 – $376.64 |
| 2 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $116.38 | $184.92 | $116.38 – $393.76 |
| 3 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $142.56 | $193.27 | $111.32 – $376.64 |
| 4 | Molina medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $123.97 | $196.98 | $123.97 – $419.44 |
| 5 | UnitedHealthcare va community care facility · percent of total billed charges · outpatientfrom % of charges | $287.73 | $287.73 | $181.70 – $393.76 |
| 6 | UnitedHealthcare nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $306.50 | $306.50 | $193.55 – $419.44 |
| 7 | UnitedHealthcare commercial/individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $240.35 | $381.90 | $240.35 – $813.20 |
| 8 | UnitedHealthcare commercial/individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $240.35 | $381.90 | $240.35 – $813.20 |
| 9 | Bcbs Wy network blue facility · percent of total billed charges · inpatientfrom % of charges | $242.88 | $385.92 | $242.88 – $821.76 |
| 10 | Bcbs Wy network blue facility · percent of total billed charges · outpatientfrom % of charges | $242.88 | $385.92 | $242.88 – $821.76 |
| 11 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $242.88 | $385.92 | $242.88 – $821.76 |
| 12 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $242.88 | $385.92 | $242.88 – $821.76 |
| 13 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $245.41 | $389.94 | $245.41 – $830.32 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $245.41 | $389.94 | $245.41 – $830.32 |
| 15 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $308.78 | $418.61 | $241.11 – $815.77 |
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.