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 o/p est mod 30 min
Lebanon, NH
See all hospitals reporting CPT 99214 →Price type
Mary Hitchcock Memorial Hospital’s median price of $300 is 89% above the median hospital's median price ($159), higher than 81% 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, 87 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $57.78 | $57.78 | $57.78 – $57.78 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $110.45 | $110.45 | $94.22 – $126.67 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $110.45 | $110.45 | $94.22 – $126.67 |
| 4 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $110.45 | $110.45 | $94.22 – $126.67 |
| 5 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $110.45 | $110.45 | $94.22 – $126.67 |
| 6 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $111.08 | $111.08 | $105.30 – $116.85 |
| 7 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $113.76 | $113.76 | $97.04 – $130.47 |
| 8 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $113.76 | $113.76 | $97.04 – $130.47 |
| 9 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $114.86 | $114.86 | $97.98 – $131.73 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $115.97 | $115.97 | $98.93 – $133.00 |
| 11 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $133.05 | $133.05 | $133.05 – $133.05 |
| 12 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $155.69 | $155.69 | $111.71 – $199.67 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $178.90 | $178.90 | $57.78 – $300.02 |
| 14 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $188.14 | $179.78 | $97.05 – $245.80 |
| 15 | Phcs phcs - ppo professional · percent of total billed charges · outpatientfrom % of charges | $104.00 | $222.33 | $104.00 – $459.00 |
| 16 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $229.32 | $229.32 | $192.41 – $266.22 |
| 17 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $241.48 | $241.48 | $203.07 – $279.89 |
| 18 | Bcbs Vt bcbs of vermont - vermont health partnership professional · fee schedule · outpatient | $245.80 | $245.80 | $245.80 – $245.80 |
| 19 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $250.01 | $250.01 | $210.24 – $289.78 |
| 20 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · outpatientfrom % of charges | $250.41 | $250.41 | $250.41 – $250.41 |
| 21 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $252.77 | $252.77 | $216.76 – $288.77 |
| 22 | Aetna aetna - hmo/pos/ppo professional · fee schedule · outpatient | $254.04 | $254.04 | $216.38 – $291.69 |
| 23 | Bcbs Vt bcbs of vermont - the vermont health plan - dhp professional · fee schedule · outpatient | $258.09 | $258.09 | $258.09 – $258.09 |
| 24 | Bcbs Vt bcbs of vermont - vermont health partnership - dhp professional · fee schedule · outpatient | $258.09 | $258.09 | $258.09 – $258.09 |
| 25 | UnitedHealthcare uhc - freedom plan professional · percent of total billed charges · inpatientfrom % of charges | $259.08 | $259.08 | $259.08 – $259.08 |
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.