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
Hcpf Established Patient Level 4 Bh
Palos Heights, IL
See all hospitals reporting CPT 99214 →Price type
Palos Community Hospital’s median price of $211 is 33% above the median hospital's median price ($159), higher than 66% 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, 24 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 ph bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $64.32 | $64.32 | $37.60 – $91.04 |
| 2 | Blue Cross Blue Shield ph bcbs bluechoice options select percent of total billed charges · outpatientfrom % of charges | $64.32 | $64.32 | $37.60 – $91.04 |
| 3 | Blue Cross Blue Shield ph bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $64.32 | $64.32 | $37.60 – $91.04 |
| 4 | Cigna ph cigna alternative percent of total billed charges · outpatientfrom % of charges | $75.18 | $75.18 | $43.95 – $106.40 |
| 5 | Blue Cross Blue Shield ph bcbs ppo percent of total billed charges · outpatientfrom % of charges | $77.19 | $77.19 | $45.12 – $109.25 |
| 6 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $86.44 | $86.44 | $50.53 – $122.34 |
| 7 | Cigna ph cigna broad percent of total billed charges · outpatientfrom % of charges | $118.99 | $118.99 | $69.56 – $168.42 |
| 8 | Aetna ph aetna percent of total billed charges · outpatientfrom % of charges | $133.48 | $133.48 | $133.48 – $133.48 |
| 9 | First Health ph aetna percent of total billed charges · outpatientfrom % of charges | $133.48 | $133.48 | $133.48 – $133.48 |
| 10 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $136.28 | $136.28 | $79.67 – $192.89 |
| 11 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $157.31 | $157.31 | $91.96 – $222.65 |
| 12 | UnitedHealthcare ph uhc core percent of total billed charges · outpatientfrom % of charges | $182.11 | $182.11 | $106.46 – $257.76 |
| 13 | UnitedHealthcare ph uhc all other percent of total billed charges · outpatientfrom % of charges | $205.43 | $205.43 | $120.09 – $290.76 |
| 14 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $241.20 | $241.20 | $141.00 – $341.40 |
| 15 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $281.40 | $281.40 | $164.50 – $398.30 |
| 16 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $301.50 | $301.50 | $176.25 – $426.75 |
| 17 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $321.60 | $321.60 | $188.00 – $455.20 |
| 18 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $321.60 | $321.60 | $188.00 – $455.20 |
| 19 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
| 20 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
| 21 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
| 22 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
| 23 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
| 24 | UnitedHealthcare ph uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $402.00 | $402.00 | $235.00 – $569.00 |
Last updated: Apr 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.