How much does Established patient office visit, moderate complexity cost in grand-rapids?

CPT 99214 โ€” the fair price, every hospital's price, and the Medicare benchmark for grand-rapids.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
99214 Established patient office visit, moderate complexity
Market typical price
$177
7 facilities ยท typical range $119 โ€“ $231 ยท 1.4ร— Medicare PFS
What Medicare paysโ“˜
$125
Market typical
$177
Cash / self-pay price
$204
Prices near you โ€” 7 facilities, lowest first
FacilityTypePricevs MedicareQuality
Trinity Health Muskegon Hospital (former Mercy Health Hackley) lowest Hospital $90cash 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.4%
Trinity Health Grand Rapids Hospital (former Mercy Health Saint Mary's) Hospital $119negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
Corewell Health Zeeland Hospital Hospital $171cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Holland Hospital Hospital $177cash 1.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Corewell Health Butterworth Hospital (Grand Rapids) Hospital $231cash 1.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.5%
Corewell Health Blodgett Hospital (East Grand Rapids; shares CCN with Butterworth) Hospital $231cash 1.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.5%
University of Michigan Health-West (Wyoming) Hospital $375cash 3.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.3%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
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What should 99214 cost in grand-rapids?

For Established patient office visit, moderate complexity (CPT 99214) in grand-rapids, a fair self-pay price is around $177, with hospitals ranging from $119 to $231 across 7 facilities. Medicare's benchmark rate is $125, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does Established patient office visit, moderate complexity cost in grand-rapids?

A fair self-pay price for Established patient office visit, moderate complexity (CPT 99214) in grand-rapids is around $177, with hospital prices ranging from $119 to $231 across 7 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99214?

Medicare pays about $125 for Established patient office visit, moderate complexity (CPT 99214). That's the negotiation floor โ€” a fair cash-pay target is roughly 1.5โ€“2ร— it, well below typical gross charges.

Can I negotiate the price of Established patient office visit, moderate complexity?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

Compare other procedures in grand-rapids

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.