Outpatient office visit, established patient, level 4 at Columbia Memorial Hospital

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

PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN

Hudson, NY

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How this price compares nationally

Columbia Memorial Hospital’s median price of $122 is 23% below the median hospital's median price ($159), higher than 31% 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 Columbia Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 57 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	UnitedHealthcare medicaid_fac professional · fee schedule · outpatient	$45.36	$45.36	$45.36 – $45.36
2	UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient	$60.98	$60.98	$60.98 – $60.98
3	Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient	$81.34	$81.34	$81.34 – $81.34
4	UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient	$83.76	$83.76	$83.76 – $83.76
5	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$85.69	$85.69	$85.69 – $85.69
6	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$85.69	$85.69	$85.69 – $85.69
7	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$94.26	$94.26	$94.26 – $94.26
8	UnitedHealthcare all products_md_fac professional · fee schedule · outpatient	$98.54	$98.54	$98.54 – $98.54
9	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$100.81	$100.81	$100.81 – $100.81
10	Tricare all products_physician_fac professional · fee schedule · outpatient	$100.81	$100.81	$100.81 – $100.81
11	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$100.81	$100.81	$100.81 – $100.81
12	Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient	$101.67	$101.67	$101.67 – $101.67
13	Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient	$101.67	$101.67	$101.67 – $101.67
14	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$101.67	$101.67	$101.67 – $101.67
15	Blue Cross Blue Shield ppo_fac professional · fee schedule · outpatient	$101.67	$101.67	$101.67 – $101.67
16	Cigna commercial_specialist_fac professional · fee schedule · outpatient	$102.62	$102.62	$102.62 – $102.62
17	Aetna medicare_fac professional · fee schedule · outpatient	$103.83	$103.83	$103.83 – $103.83
18	Cigna commercial_pcp_fac professional · fee schedule · outpatient	$106.04	$106.04	$106.04 – $106.04
19	Blue Cross Blue Shield pathway enhanced_nonfac professional · fee schedule · outpatient	$108.45	$108.45	$108.45 – $108.45
20	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$125.58	$109.98	$62.79 – $141.57
21	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$110.89	$110.89	$110.89 – $110.89
22	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient	$115.18	$115.18	$115.18 – $115.18
23	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$115.19	$115.19	$115.19 – $115.19
24	UnitedHealthcare all products_nonmd_nonfac professional · fee schedule · outpatient	$115.65	$115.65	$115.65 – $115.65
25	Highmark medicare_loc professional · fee schedule · outpatient	$120.44	$120.44	$120.44 – $120.44

Page 1 of 3 · 57 rates

Last updated: Dec 31, 2025

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