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
Pace OP Visit E&M of Established Patient; Level 4
DYER, IN
See all hospitals reporting CPT 99214 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $191 is 20% above the median hospital's median price ($159), higher than 60% 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, 63 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem franciscan alliance employee ins [319071] fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 2 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 3 | Medicare medicare part a & b [109993] fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 4 | Medicare medicare part b [109992] fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 5 | Medicare medicare-nir-dyer fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 6 | Blue Cross Blue Shield anthem healthsync hpn [322022] fee schedule · both | $127.90 | $127.90 | $127.90 – $127.90 |
| 7 | Medicare medicare part a & b [109993] other · both | $140.86 | $140.86 | $140.86 – $140.86 |
| 8 | Medicare medicare part b [109992] other · both | $140.86 | $140.86 | $140.86 – $140.86 |
| 9 | Medicare medicare-nir-dyer other · both | $140.86 | $140.86 | $140.86 – $140.86 |
| 10 | Blue Cross Blue Shield anthem healthsync [319068] fee schedule · both | $144.90 | $144.90 | $144.90 – $144.90 |
| 11 | Blue Cross Blue Shield anthem healthsync pos with copps - dyer fee schedule · both | $144.90 | $144.90 | $144.90 – $144.90 |
| 12 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $165.64 | $158.36 | $119.41 – $190.03 |
| 13 | Medicaid anthem care connect [315015] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 14 | Medicaid anthem healthy indiana plan [301498] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 15 | Medicaid anthem medicaid [109201] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 16 | Medicaid anthem pathways for aging [324049] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 17 | Medicaid humana healthy horizons in indiana [324050] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 18 | Medicaid in mcd-nir-dyer per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 19 | Medicaid mdwise excel hhw [318029] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 20 | Medicaid mdwise excel hip [318028] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 21 | Medicaid medicaid in traditional [109206] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 22 | Medicaid united healthcare care connect [321005] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 23 | Medicaid united healthcare pathways for the aging [324051] per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 24 | Bcbs Il anthem blue access ppo with copps - dyer fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 25 | Bcbs Il bcbs il blue choice [313025] fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
Last updated: Jan 1, 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.