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
LAFAYETTE, IN
See all hospitals reporting CPT 99214 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $234 is 47% above the median hospital's median price ($159), higher than 70% 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: 9 payers, 18 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 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 2 | Medicare medicare-wir-lafayette fee schedule · both | $80.95 | $80.95 | $80.95 – $80.95 |
| 3 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette fee schedule · both | $127.90 | $127.90 | $127.90 – $127.90 |
| 4 | Medicare medicare-wir-lafayette other · both | $140.86 | $140.86 | $140.86 – $140.86 |
| 5 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette fee schedule · both | $144.90 | $144.90 | $144.90 – $144.90 |
| 6 | Medicaid in mcd-wir-lafayette per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 7 | Bcbs Il anthem blue access ppo with copps - lafayette fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 8 | Bcbs In anthem blue access ppo with copps - lafayette fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 9 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 10 | Medicaid in mcd lafayet caresource 120% of in mcd per diem · both | $190.94 | $190.94 | $190.94 – $190.94 |
| 11 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $198.44 | $217.30 | $114.39 – $339.07 |
| 12 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $210.54 | $230.55 | $121.37 – $359.75 |
| 13 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $233.77 | $255.99 | $134.76 – $399.44 |
| 14 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $257.49 | $281.96 | $148.43 – $439.96 |
| 15 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $326.55 | $357.59 | $188.24 – $557.98 |
| 16 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $332.51 | $364.11 | $191.67 – $568.15 |
| 17 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $342.67 | $375.24 | $197.53 – $585.52 |
| 18 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $387.20 | $424.00 | $223.20 – $661.60 |
Last updated: Jan 1, 2026
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