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
WOUND CARE E&M EST PT LVL 4
San Augustine, TX
See all hospitals reporting CPT 99214 →Price type
Memorial Medical Center San Augustine’s median price of $442 is 178% above the median hospital's median price ($159), higher than 94% 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, 23 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 | UnitedHealthcare commercial|exchange fee schedule · outpatient | $94.29 | $94.29 | $88.50 – $100.07 |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 3 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $120.47 | $120.47 | $113.08 – $127.86 |
| 4 | Aetna commercial|all plans fee schedule · inpatient | $130.95 | $130.95 | $122.91 – $138.98 |
| 5 | Aetna commercial|all plans fee schedule · outpatient | $130.95 | $130.95 | $122.91 – $138.98 |
| 6 | Blue Cross Blue Shield commercial|blue premier fee schedule · outpatient | $171.22 | $171.22 | $171.22 – $171.22 |
| 7 | Blue Cross Blue Shield commercial|blue advantage hmo fee schedule · outpatient | $195.22 | $195.22 | $195.22 – $195.22 |
| 8 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $196.02 | $196.02 | $196.02 – $196.02 |
| 9 | Blue Cross Blue Shield commercial|ppo fee schedule · outpatient | $212.83 | $212.83 | $212.83 – $212.83 |
| 10 | Phcs commercial|all plans fee schedule · outpatient | $356.17 | $356.17 | $334.32 – $378.02 |
| 11 | Humana commercial|all plans fee schedule · inpatient | $366.64 | $366.64 | $344.15 – $389.13 |
| 12 | Humana commercial|all plans fee schedule · outpatient | $366.64 | $366.64 | $344.15 – $389.13 |
| 13 | MultiPlan commercial|all plans fee schedule · inpatient | $366.64 | $366.64 | $344.15 – $389.13 |
| 14 | MultiPlan commercial|all plans fee schedule · outpatient | $366.64 | $366.64 | $344.15 – $389.13 |
| 15 | Phcs commercial|all plans fee schedule · inpatient | $419.02 | $419.02 | $393.32 – $444.72 |
| 16 | UnitedHealthcare medicaid|all other plans fee schedule · outpatient | $471.40 | $471.40 | $442.48 – $500.31 |
| 17 | UnitedHealthcare medicaid|chip fee schedule · outpatient | $471.40 | $471.40 | $442.48 – $500.31 |
| 18 | UnitedHealthcare medicaid|star fee schedule · outpatient | $471.40 | $471.40 | $442.48 – $500.31 |
| 19 | UnitedHealthcare medicaid|starkids fee schedule · outpatient | $471.40 | $471.40 | $442.48 – $500.31 |
| 20 | Cigna Healthspring medicaid|starplus fee schedule · outpatient | $480.83 | $480.83 | $451.33 – $510.32 |
| 21 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $494.97 | $494.97 | $464.60 – $525.33 |
| 22 | UnitedHealthcare commercial|exchange fee schedule · inpatient | $523.77 | $523.77 | $491.64 – $555.90 |
| 23 | UnitedHealthcare medicaid|starplus fee schedule · outpatient | $843.80 | $843.80 | $792.04 – $895.56 |
Last updated: Feb 28, 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.