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
HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL IV 30
Philadelphia, PA
See all hospitals reporting CPT 99214 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $205 is 29% above the median hospital's median price ($159), higher than 64% 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, 29 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 unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $61.37 | $61.37 | $52.78 – $69.95 |
| 2 | Highmark highmark facility · other · outpatient | $74.87 | $74.87 | $64.39 – $85.35 |
| 3 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $80.87 | $80.87 | $69.55 – $92.18 |
| 4 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $83.26 | $83.26 | $71.61 – $94.91 |
| 5 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $83.26 | $83.26 | $71.61 – $94.91 |
| 6 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $101.44 | $101.44 | $87.24 – $115.63 |
| 7 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $107.21 | $107.21 | $107.21 – $107.21 |
| 8 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $115.27 | $115.27 | $99.14 – $131.40 |
| 9 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $116.20 | $116.20 | $99.94 – $132.46 |
| 10 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $121.00 | $121.00 | $104.06 – $137.93 |
| 11 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $149.75 | $149.75 | $128.79 – $170.70 |
| 12 | Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $149.75 | $149.75 | $128.79 – $170.70 |
| 13 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $149.75 | $149.75 | $128.79 – $170.70 |
| 14 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $149.75 | $149.75 | $128.79 – $170.70 |
| 15 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $152.74 | $152.74 | $131.37 – $174.11 |
| 16 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $182.69 | $182.69 | $157.12 – $208.25 |
| 17 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $239.59 | $239.59 | $206.06 – $273.12 |
| 18 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $239.59 | $239.59 | $206.06 – $273.12 |
| 19 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $299.49 | $299.49 | $257.58 – $341.40 |
| 20 | Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $299.49 | $299.49 | $257.58 – $341.40 |
| 21 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $299.49 | $299.49 | $257.58 – $341.40 |
| 22 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $299.49 | $299.49 | $257.58 – $341.40 |
| 23 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $299.49 | $299.49 | $257.58 – $341.40 |
| 24 | Clover clover health plan facility · other · outpatient | $299.49 | $299.49 | $257.58 – $341.40 |
| 25 | Highmark highmark medicare advantage facility · other · outpatient | $299.49 | $299.49 | $257.58 – $341.40 |
Last updated: Mar 20, 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.