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
ET ESTABLISHED PT LEVEL 4-OP
Orange, CA
See all hospitals reporting CPT 99214 →Price type
Childrens Hospital of Orange County - Profit’s median price of $294 is 85% above the median hospital's median price ($159), higher than 81% 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: 12 payers, 33 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 | Bcbs Ca blue cross of california medi-cal/caloptima/healthy families facility · fee schedule · outpatient | $43.03 | $43.03 | $43.03 – $43.03 |
| 2 | Molina molina medi-cal facility · fee schedule · outpatient | $49.48 | $49.48 | $49.48 – $49.48 |
| 3 | Kaiser medi-cal kaiser facility · other · outpatient | $64.55 | $64.55 | $64.55 – $64.55 |
| 4 | Oscar oscar health plan ppo epo facility · percent of total billed charges · outpatientfrom % of charges | $270.05 | $339.49 | $188.10 – $629.75 |
| 5 | Bcbs Ca blue shield of california uc care ppo facility · percent of total billed charges · outpatientfrom % of charges | $290.67 | $365.41 | $202.46 – $677.84 |
| 6 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $294.60 | $370.35 | $205.20 – $687.00 |
| 7 | Magellan magellan health services hmo facility · percent of total billed charges · outpatientfrom % of charges | $294.60 | $370.35 | $205.20 – $687.00 |
| 8 | Magellan magellan health services ppo facility · percent of total billed charges · outpatientfrom % of charges | $294.60 | $370.35 | $205.20 – $687.00 |
| 9 | Bcbs Ca blue cross/vivity/pih-presbyterian health/hmo facility · other · outpatient | $296.41 | $375.27 | $223.36 – $606.05 |
| 10 | Cigna cigna epo/ppo facility · other · outpatient | $334.32 | $423.27 | $251.93 – $683.57 |
| 11 | Cigna cigna healthcare of california hmo/pos in net facility · other · outpatient | $334.32 | $423.27 | $251.93 – $683.57 |
| 12 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · per diem · outpatient | $340.76 | $428.37 | $237.35 – $794.63 |
| 13 | Bcbs Ca blue shield of california hmo/pos/ppo** facility · per diem · outpatient | $353.03 | $443.80 | $245.90 – $823.25 |
| 14 | Blue Cross Blue Shield blue shield calpers ppo facility · per diem · outpatient | $353.03 | $443.80 | $245.90 – $823.25 |
| 15 | First Health first health affordable epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $358.43 | $450.59 | $249.66 – $835.85 |
| 16 | Bcbs Ca blue cross of california select ppo out net facility · other · outpatient | $360.42 | $456.31 | $271.60 – $736.92 |
| 17 | Bcbs Ca blue cross of california hmo/pos in net facility · other · outpatient | $379.40 | $480.35 | $285.90 – $775.74 |
| 18 | Bcbs Ca blue cross of california ppo/pos out net facility · other · outpatient | $379.40 | $480.35 | $285.90 – $775.74 |
| 19 | Cigna cigna behavioral health (evernorth behavioral health inc) hmo facility · percent of total billed charges · outpatientfrom % of charges | $392.80 | $493.80 | $273.60 – $916.00 |
| 20 | Cigna cigna behavioral health (evernorth behavioral health, inc.) ppo facility · percent of total billed charges · outpatientfrom % of charges | $392.80 | $493.80 | $273.60 – $916.00 |
| 21 | Humana humana choicecare ppo** facility · percent of total billed charges · outpatientfrom % of charges | $392.80 | $493.80 | $273.60 – $916.00 |
| 22 | MultiPlan multiplan ppo** facility · percent of total billed charges · inpatientfrom % of charges | $392.80 | $493.80 | $273.60 – $916.00 |
| 23 | MultiPlan multiplan ppo** facility · percent of total billed charges · outpatientfrom % of charges | $392.80 | $493.80 | $273.60 – $916.00 |
| 24 | Bcbs Ca blue cross of california hmo/pos/ppo** facility · other · outpatient | $402.62 | $506.15 | $280.44 – $938.90 |
| 25 | Phcs private healthcare systems (phcs) epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $417.35 | $524.66 | $290.70 – $973.25 |
Last updated: Mar 19, 2026
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