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
OP VISIT LEVEL 4 EST
Spruce Pine, NC
See all hospitals reporting CPT 99214 →Price type
Blue Ridge Regional Hospital’s median price of $217 is 36% above the median hospital's median price ($159), higher than 67% 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 | Blue Cross Blue Shield mcr percent of total billed charges · outpatientfrom % of charges | $83.75 | $83.75 | $83.75 – $83.75 |
| 2 | Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges | $87.83 | $87.83 | $87.83 – $87.83 |
| 3 | UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges | $89.14 | $89.14 | $89.14 – $89.14 |
| 4 | WellCare mgmcd percent of total billed charges · outpatientfrom % of charges | $90.45 | $90.45 | $90.45 – $90.45 |
| 5 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $104.68 | $104.68 | $104.68 – $104.68 |
| 6 | Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges | $193.66 | $193.66 | $193.66 – $193.66 |
| 7 | Aetna ahw percent of total billed charges · outpatientfrom % of charges | $195.23 | $195.23 | $195.23 – $195.23 |
| 8 | Aetna connect percent of total billed charges · outpatientfrom % of charges | $195.23 | $195.23 | $195.23 – $195.23 |
| 9 | Aetna simplepay percent of total billed charges · outpatientfrom % of charges | $195.23 | $195.23 | $195.23 – $195.23 |
| 10 | Aetna aetnapreferred percent of total billed charges · outpatientfrom % of charges | $209.36 | $209.36 | $209.36 – $209.36 |
| 11 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $210.93 | $210.93 | $210.93 – $210.93 |
| 12 | Blue Cross Blue Shield blueselect percent of total billed charges · outpatientfrom % of charges | $216.74 | $216.74 | $216.74 – $216.74 |
| 13 | Blue Cross Blue Shield bluevalue percent of total billed charges · outpatientfrom % of charges | $216.74 | $216.74 | $216.74 – $216.74 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $216.74 | $216.74 | $216.74 – $216.74 |
| 15 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $216.74 | $216.74 | $216.74 – $216.74 |
| 16 | Caresource hix percent of total billed charges · outpatientfrom % of charges | $230.30 | $230.30 | $230.30 – $230.30 |
| 17 | UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges | $235.53 | $235.53 | $235.53 – $235.53 |
| 18 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $238.15 | $238.15 | $238.15 – $238.15 |
| 19 | Medcost signaturenetwork percent of total billed charges · outpatientfrom % of charges | $243.91 | $243.91 | $243.91 – $243.91 |
| 20 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $247.57 | $247.57 | $247.57 – $247.57 |
| 21 | Medcost ultrarate percent of total billed charges · outpatientfrom % of charges | $254.74 | $254.74 | $254.74 – $254.74 |
| 22 | Medcost standard percent of total billed charges · outpatientfrom % of charges | $265.47 | $265.47 | $265.47 – $265.47 |
| 23 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $367.96 | $367.96 | $367.96 – $367.96 |
| 24 | MultiPlan comm percent of total billed charges · outpatientfrom % of charges | $418.73 | $418.73 | $418.73 – $418.73 |
Last updated: Sep 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.