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
99214 - OP Est Mod MDM or 30 min
Washington, DC
See all hospitals reporting CPT 99214 →Price type
Children's National Hospital’s median price of $105 is 34% below the median hospital's median price ($159), higher than 22% 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, 23 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 | Carefirst hmo professional · fee schedule · both | $62.48 | $62.48 | $62.48 – $62.48 |
| 2 | Carefirst rpn professional · fee schedule · both | $65.77 | $65.77 | $65.77 – $65.77 |
| 3 | Anthem medicaid professional · fee schedule · both | $71.67 | $71.67 | $71.67 – $71.67 |
| 4 | Kaiser managed medicaid professional · fee schedule · both | $77.29 | $77.29 | $77.29 – $77.29 |
| 5 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $87.83 | $87.83 | $87.83 – $87.83 |
| 6 | Molina managed medicaid (medallion) professional · fee schedule · both | $87.83 | $87.83 | $87.83 – $87.83 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $91.24 | $91.24 | $72.37 – $110.10 |
| 8 | Aetna Better Health managed medicaid professional · fee schedule · both | $92.83 | $92.83 | $80.80 – $104.86 |
| 9 | UnitedHealthcare all payer facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 10 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $97.22 | $97.22 | $97.22 – $97.22 |
| 11 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 12 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $99.86 | $99.86 | $99.86 – $99.86 |
| 13 | Aetna commercial professional · fee schedule · both | $110.48 | $110.48 | $110.48 – $110.48 |
| 14 | Carefirst managed medicaid professional · fee schedule · both | $125.83 | $125.83 | $125.83 – $125.83 |
| 15 | Anthem hmo facility · fee schedule · outpatient | $140.72 | $140.72 | $140.72 – $140.72 |
| 16 | Anthem hmx facility · fee schedule · outpatient | $140.72 | $140.72 | $140.72 – $140.72 |
| 17 | Anthem ppo/par facility · fee schedule · outpatient | $140.72 | $140.72 | $140.72 – $140.72 |
| 18 | Anthem hmx professional · fee schedule · both | $142.39 | $142.39 | $142.39 – $142.39 |
| 19 | Anthem hmo professional · fee schedule · both | $155.05 | $155.05 | $155.05 – $155.05 |
| 20 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $159.50 | $159.50 | $159.50 – $159.50 |
| 21 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $159.50 | $159.50 | $159.50 – $159.50 |
| 22 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $191.40 | $191.40 | $191.40 – $191.40 |
| 23 | Anthem ppo/par professional · fee schedule · both | $193.97 | $193.97 | $193.97 – $193.97 |
Last updated: Apr 2, 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.