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
OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
Vero Beach, FL
See all hospitals reporting CPT 99214 →Price type
Indian River Memorial Hospital Inc’s median price of $100 is 37% below the median hospital's median price ($159), higher than 19% 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: 10 payers, 37 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 | Optum managed medicaid professional · fee schedule · outpatient | $47.02 | $47.02 | $47.02 – $47.02 |
| 2 | Medicaid managed medicaid professional · fee schedule · outpatient | $53.43 | $53.43 | $53.43 – $53.43 |
| 3 | Molina managed medicaid professional · fee schedule · outpatient | $53.43 | $53.43 | $53.43 – $53.43 |
| 4 | WellCare managed medicaid professional · fee schedule · outpatient | $53.43 | $53.43 | $53.43 – $53.43 |
| 5 | Magellan summit professional · other · outpatient | $54.00 | $54.00 | $54.00 – $54.00 |
| 6 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.99 | $54.99 | $54.99 – $54.99 |
| 7 | Cigna individual family plan facility · percent of total billed charges · outpatientfrom % of charges | $60.14 | $60.14 | $60.14 – $60.14 |
| 8 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $69.65 | $69.65 | $69.65 – $69.65 |
| 9 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $71.36 | $71.36 | $71.36 – $71.36 |
| 10 | Cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $72.54 | $72.54 | $72.54 – $72.54 |
| 11 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $73.07 | $73.07 | $73.07 – $73.07 |
| 12 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $73.07 | $73.07 | $73.07 – $73.07 |
| 13 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $74.41 | $74.41 | $74.41 – $74.41 |
| 14 | Magellan pinnacle professional · other · outpatient | $75.32 | $75.32 | $75.32 – $75.32 |
| 15 | Blue Cross Blue Shield medicare advantage hmo professional · fee schedule · outpatient | $88.93 | $88.93 | $88.93 – $88.93 |
| 16 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $88.93 | $88.93 | $88.93 – $88.93 |
| 17 | Magellan medicare advantage professional · fee schedule · outpatient | $88.93 | $88.93 | $88.93 – $88.93 |
| 18 | WellCare medicare advantage professional · fee schedule · outpatient | $88.93 | $88.93 | $88.93 – $88.93 |
| 19 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $97.49 | $97.49 | $97.49 – $97.49 |
| 20 | Aetna medicare advantage behavioral health professional · fee schedule · outpatient | $106.72 | $106.72 | $106.72 – $106.72 |
| 21 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $110.27 | $110.27 | $110.27 – $110.27 |
| 22 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $112.05 | $112.05 | $112.05 – $112.05 |
| 23 | Cigna individual family plan mid-level professional · fee schedule · outpatient | $127.77 | $127.77 | $127.77 – $127.77 |
| 24 | Cigna surefit mid-level professional · fee schedule · outpatient | $130.24 | $130.24 | $130.24 – $130.24 |
| 25 | Aetna pos first health professional · fee schedule · outpatient | $130.43 | $130.43 | $130.43 – $130.43 |
Last updated: Jun 15, 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.