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
PORTE, IN
See all hospitals reporting CPT 99214 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE’s median price of $256 is 61% above the median hospital's median price ($159), higher than 75% 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: 7 payers, 12 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 | Blue Cross Blue Shield anthem healthsync pos with copps - michigan city/laporte fee schedule · both | $144.90 | $144.90 | $144.90 – $144.90 |
| 3 | Medicaid in mcd-nir-michigan city per diem · both | $159.12 | $159.12 | $159.12 – $159.12 |
| 4 | Bcbs Il anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 5 | Bcbs In anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 6 | Blue Cross Blue Shield anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $161.90 | $161.90 | $161.90 – $161.90 |
| 7 | Medicaid in mdc mi city caresource 120% of in mcd per diem · both | $190.94 | $190.94 | $190.94 – $190.94 |
| 8 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $256.37 | $226.62 | $167.12 – $256.37 |
| 9 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $258.51 | $228.51 | $168.52 – $258.51 |
| 10 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $270.92 | $239.48 | $176.61 – $270.92 |
| 11 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $285.05 | $251.97 | $185.81 – $285.05 |
| 12 | Aetna aetna-nir-michigan city percent of total billed charges · bothfrom % of charges | $321.00 | $283.75 | $209.25 – $321.00 |
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.