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 99214 OFC/OUTPATIENT VISIT, EST 4
San Antonio, TX
See all hospitals reporting CPT 99214 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $104 is 35% below the median hospital's median price ($159), higher than 21% 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: 11 payers, 30 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 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $50.27 | $45.23 | $12.21 – $110.77 |
| 2 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $50.27 | $45.23 | $12.21 – $110.77 |
| 3 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $50.27 | $45.23 | $12.21 – $110.77 |
| 4 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $82.26 | $74.01 | $19.98 – $181.26 |
| 5 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $82.26 | $74.01 | $19.98 – $181.26 |
| 6 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $82.26 | $74.01 | $19.98 – $181.26 |
| 7 | Aetna mm fee schedule · outpatient | $76.78 | $76.78 | $76.78 – $76.78 |
| 8 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $137.10 | $123.35 | $33.30 – $302.10 |
| 9 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $137.10 | $123.35 | $33.30 – $302.10 |
| 10 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $169.09 | $152.14 | $41.07 – $372.59 |
| 11 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $161.21 | $161.21 | $128.00 – $194.42 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $191.94 | $172.70 | $46.62 – $422.94 |
| 13 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $205.65 | $185.03 | $49.95 – $453.15 |
| 14 | Bcbs Tx hmo fee schedule · outpatient | $197.22 | $197.22 | $156.00 – $238.43 |
| 15 | Bcbs Tx heb fee schedule · outpatient | $199.82 | $199.82 | $158.00 – $241.63 |
| 16 | Humana choicecare fee schedule · outpatient | $200.47 | $200.47 | $200.47 – $200.47 |
| 17 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $228.50 | $205.59 | $55.50 – $503.50 |
| 18 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $233.07 | $209.70 | $56.61 – $513.57 |
| 19 | Bcbs Tx ppo fee schedule · outpatient | $210.02 | $210.02 | $152.00 – $268.03 |
| 20 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $246.78 | $222.04 | $59.94 – $543.78 |
| 21 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $251.35 | $226.15 | $61.05 – $553.85 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $234.62 | $234.62 | $186.00 – $283.24 |
| 23 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $274.20 | $246.71 | $66.60 – $604.20 |
| 24 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $274.20 | $246.71 | $66.60 – $604.20 |
| 25 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $274.20 | $246.71 | $66.60 – $604.20 |
Last updated: Jan 13, 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.