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 ESTAB PAT OFFICE/OP VISIT MODERATE MDM 30-39 MIN
Boston, MA
See all hospitals reporting CPT 99214 →Price type
Boston Children's Hospital’s median price of $473 is 197% above the median hospital's median price ($159), higher than 95% 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, 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 | Optum comm outpatient fee schedule · both | $308.25 | $308.25 | $308.25 – $308.25 |
| 2 | UnitedHealthcare medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $372.02 | $372.02 | $372.02 – $372.02 |
| 3 | Aetna medicaid inpatient/outpatient percent of total billed charges · bothfrom % of charges | $373.20 | $373.20 | $373.20 – $373.20 |
| 4 | Optum medicaid/medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $404.30 | $404.30 | $404.30 – $404.30 |
| 5 | Blue Cross Blue Shield indem outpatient percent of total billed charges · bothfrom % of charges | $410.64 | $410.64 | $410.64 – $410.64 |
| 6 | Optum comm chd onc outpatient percent of total billed charges · bothfrom % of charges | $516.26 | $516.26 | $516.26 – $516.26 |
| 7 | UnitedHealthcare comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $519.68 | $519.68 | $519.68 – $519.68 |
| 8 | Aetna comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $521.42 | $521.42 | $521.42 – $521.42 |
| 9 | Optum comm outpatient percent of total billed charges · bothfrom % of charges | $528.70 | $528.70 | $528.70 – $528.70 |
| 10 | Cigna all products outpatient percent of total billed charges · bothfrom % of charges | $545.00 | $545.00 | $528.70 – $561.29 |
| 11 | Humana all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $559.80 | $559.80 | $559.80 – $559.80 |
| 12 | First Health all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $572.24 | $572.24 | $572.24 – $572.24 |
| 13 | MultiPlan phcs clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $572.24 | $572.24 | $572.24 – $572.24 |
| 14 | MultiPlan multiplan clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $590.90 | $590.90 | $590.90 – $590.90 |
| 15 | Cigna all products outpatient fee schedule · both | $622.00 | $622.00 | $622.00 – $622.00 |
Last updated: Apr 1, 2026
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