Outpatient office visit, established patient, level 4 at Children's Hospital Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Hb Est Mod Mdm 30-39 Min

Cincinnati, OH

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Pricing by billing methodology

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How this price compares nationally

Children's Hospital Medical Center’s median price of $147 is 7% below the median hospital's median price ($159), higher than 44% of the 2,010 hospitals reporting CPT 99214. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99214 at Children's Hospital Medical Center

Negotiated rates from the hospital’s own file: 10 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 Better Health managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$47.25	$47.25	$47.25 – $47.25
2	Humana managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$47.25	$47.25	$47.25 – $47.25
3	WellCare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$49.71	$49.71	$49.71 – $49.71
4	UnitedHealthcare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$49.90	$49.90	$49.90 – $49.90
5	Caresource managed_care_medicaid_plan fee schedule · outpatient	$79.13	$79.13	$55.69 – $102.57
6	Anthem managed_care_medicaid_plan fee schedule · outpatient	$80.37	$80.37	$53.04 – $107.70
7	Caresource all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$90.72	$90.72	$90.72 – $90.72
8	Caresource all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$90.72	$90.72	$90.72 – $90.72
9	Humana managed_care_medicaid_plan fee schedule · outpatient	$107.70	$107.70	$107.70 – $107.70
10	UnitedHealthcare managed_care_medicaid_plan fee schedule · outpatient	$108.21	$108.21	$108.21 – $108.21
11	Amerihealth Caritas managed_care_medicaid_plan fee schedule · outpatient	$110.78	$110.78	$110.78 – $110.78
12	Molina managed_care_medicaid_plan fee schedule · outpatient	$112.83	$112.83	$112.83 – $112.83
13	Aetna Better Health managed_care_medicaid_plan fee schedule · outpatient	$125.94	$125.94	$125.94 – $125.94
14	Beechstreet all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$185.22	$185.22	$185.22 – $185.22
15	Beechstreet all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$185.22	$185.22	$185.22 – $185.22
16	First Health all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$185.22	$185.22	$185.22 – $185.22
17	First Health all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$185.22	$185.22	$185.22 – $185.22

Last updated: Apr 1, 2026

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