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
Payson, AZ
See all hospitals reporting CPT 99214 →Price type
Banner Payson Medical Center’s median price of $199 is 25% above the median hospital's median price ($159), higher than 62% 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, 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 joint venture facility · percent of total billed charges · outpatientfrom % of charges | $132.50 | $132.50 | $132.50 – $132.50 |
| 2 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $165.50 | $165.50 | $165.50 – $165.50 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $517.63 | $517.63 | $102.50 – $932.75 |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $517.63 | $517.63 | $102.50 – $932.75 |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $517.63 | $517.63 | $102.50 – $932.75 |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $517.63 | $517.63 | $102.50 – $932.75 |
| 7 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $517.63 | $517.63 | $102.50 – $932.75 |
| 8 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $548.69 | $548.69 | $108.65 – $988.72 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $569.39 | $569.39 | $112.75 – $1,026 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $704.48 | $704.48 | $139.50 – $1,269 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $811.79 | $811.79 | $160.75 – $1,463 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $811.79 | $811.79 | $160.75 – $1,463 |
| 13 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $845.88 | $845.88 | $167.50 – $1,524 |
| 14 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $854.08 | $854.08 | $169.12 – $1,539 |
| 15 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $925.92 | $925.92 | $925.92 – $925.92 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1,005 | $1,005 | $199.00 – $1,811 |
| 17 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1,005 | $1,005 | $199.00 – $1,811 |
Last updated: Mar 2, 2026
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