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
PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN
Mount Vernon, IL
See all hospitals reporting CPT 99214 →Price type
Deaconess Illinois Crossroads Inc’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.
Negotiated rates from the hospital’s own file: 8 payers, 29 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 medicaid professional · fee schedule · both | $65.79 | $65.79 | $65.79 – $65.79 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $65.79 | $65.79 | $65.79 – $65.79 |
| 3 | Molina managed medicaid professional · fee schedule · both | $65.79 | $65.79 | $65.79 – $65.79 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $65.79 | $65.79 | $65.79 – $65.79 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 8 | Humana dual medicare/medicaid professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 9 | Humana medicare advantage professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 10 | Molina dual medicare/medicaid professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 11 | UnitedHealthcare medicare advantage professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 12 | WellCare dual medicare/medicaid professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 13 | WellCare medicare advantage professional · fee schedule · both | $91.55 | $91.55 | $91.55 – $91.55 |
| 14 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $96.47 | $96.47 | $96.47 – $96.47 |
| 15 | Bcbs Il blue choice ppo professional · fee schedule · both | $102.44 | $102.44 | $102.44 – $102.44 |
| 16 | Bcbs Il hmo/ppo professional · fee schedule · both | $102.44 | $102.44 | $102.44 – $102.44 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $104.52 | $104.52 | $91.55 – $117.49 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 19 | Bcbs Il medicare advantage facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 20 | Humana dual medicare/medicaid facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 21 | Humana medicare advantage facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 22 | UnitedHealthcare commercial facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 23 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 24 | WellCare dual medicare/medicaid facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
| 25 | WellCare medicare advantage facility · case rate · outpatient | $121.91 | $121.91 | $121.91 – $121.91 |
Last updated: Feb 3, 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.