Outpatient office visit, established patient, level 4 at Essentia Health Fargo

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

OFFICE/OUTPT VISIT,EST,LEVL IV

3000 32nd Ave S Fargo, ND

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Pricing by billing methodology

Price type

How this price compares nationally

Essentia Health Fargo’s median price of $98 is 39% below the median hospital's median price ($159), higher than 18% 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 Essentia Health Fargo

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$39.40	$39.40	$39.40 – $39.40
2	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$57.18	$57.18	$57.18 – $57.18
3	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$63.05	$63.05	$63.05 – $63.05
4	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$63.05	$63.05	$63.05 – $63.05
5	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$66.15	$66.15	$66.15 – $66.15
6	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$66.37	$66.37	$66.37 – $66.37
7	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$66.37	$66.37	$66.37 – $66.37
8	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$72.40	$72.40	$66.15 – $78.65
9	Blue Cross Blue Shield bcbs nd facility · percent of total billed charges · outpatientfrom % of charges	$78.65	$78.65	$78.65 – $78.65
10	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$81.44	$81.44	$81.44 – $81.44
11	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$83.35	$83.35	$83.35 – $83.35
12	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$87.32	$87.32	$81.44 – $93.20
13	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$90.55	$90.55	$90.55 – $90.55
14	Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges	$90.55	$90.55	$90.55 – $90.55
15	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$96.73	$96.73	$96.73 – $96.73
16	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$96.73	$96.73	$96.73 – $96.73
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$98.49	$98.49	$98.49 – $98.49
18	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$98.49	$98.49	$98.49 – $98.49
19	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$99.22	$99.22	$99.22 – $99.22
20	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$117.16	$117.16	$117.16 – $117.16
21	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$124.95	$124.95	$124.95 – $124.95
22	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$124.95	$124.95	$124.95 – $124.95
23	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$172.82	$172.82	$172.82 – $172.82
24	Blue Cross Blue Shield medicaid facility · fee schedule · outpatient	$172.82	$172.82	$172.82 – $172.82

Last updated: Jan 1, 2026

Compare to other hospitals

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.