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
PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN
Middlebury, VT
See all hospitals reporting CPT 99214 →Price type
Porter Hospital Inc’s median price of $175 is 10% above the median hospital's median price ($159), higher than 56% 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: 7 payers, 20 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 | Humana tricare professional · fee schedule · both | $86.72 | $86.72 | $86.72 – $86.72 |
| 2 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $90.68 | $90.68 | $90.68 – $90.68 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $91.28 | $91.28 | $91.28 – $91.28 |
| 4 | Bcbs Vt medicare advantage professional · fee schedule · both | $104.97 | $104.97 | $104.97 – $104.97 |
| 5 | Cigna commercial professional · fee schedule · both | $114.73 | $114.73 | $114.73 – $114.73 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $122.43 | $122.43 | $122.43 – $122.43 |
| 7 | Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both | $139.68 | $139.68 | $135.61 – $143.74 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $165.00 | $165.00 | $151.62 – $178.37 |
| 9 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $169.18 | $169.18 | $169.18 – $169.18 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.84 | $174.84 | $174.84 – $174.84 |
| 11 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.84 | $174.84 | $174.84 – $174.84 |
| 12 | Bcbs Vt indemnity facility · fee schedule · outpatient | $176.05 | $176.05 | $176.05 – $176.05 |
| 13 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $176.05 | $176.05 | $176.05 – $176.05 |
| 14 | Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $178.56 | $178.56 | $178.56 – $178.56 |
| 15 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $208.05 | $208.05 | $208.05 – $208.05 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $276.20 | $276.20 | $276.20 – $276.20 |
| 17 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $290.16 | $290.16 | $290.16 – $290.16 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $338.33 | $338.33 | $338.33 – $338.33 |
| 19 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $353.40 | $353.40 | $353.40 – $353.40 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $368.28 | $368.28 | $368.28 – $368.28 |
Last updated: Apr 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.