How much does established patient office visit, moderate complexity cost in Michigan?
CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for Michigan.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99214 Established patient office visit, moderate complexity
Market typical price
$120
56 facilities · typical range $105 – $188 · 1.0× Medicare PFS
Typical
$120
Medicare $125
$33 lowboxed = typical rangehigh $720
What Medicare pays
$125
Market typical
$120
Cash / self-pay price
$125
Prices near you — 56 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Trinity Health Livonia Hospital lowest | Hospital | $33cash | 0.3× | ★★★★★ hip/knee complications 4.6% |
| University of Michigan Health University Hospital (Michigan Medicine, Ann Arbor) | Hospital | $52cash | 0.4× | ★★★★★ hip/knee complications 4.9% |
| DMC Huron Valley-Sinai Hospital (Commerce Township) | Hospital | $63negotiated | 0.5× | ★★★★★ hip/knee complications 5% |
| Trinity Health Livingston Hospital (Howell) | Hospital | $70negotiated | 0.6× | ★★★★★ hip/knee complications 3.5% |
| UP Health System - Marquette | Hospital | $73cash | 0.6× | ★★★★★ hip/knee complications 4.7% |
| Henry Ford St. John Hospital (Detroit; former Ascension St. John) | Hospital | $74cash | 0.6× | ★★★★★ hip/knee complications 3.8% |
| Henry Ford Warren Hospital (former Ascension Macomb-Oakland) | Hospital | $74cash | 0.6× | ★★★★★ hip/knee complications 3.5% |
| DMC Harper University Hospital | Hospital | $77negotiated | 0.6× | ★★★★★ hip/knee complications 3.3% |
| McLaren Bay Region (Bay City) | Hospital | $80cash | 0.6× | ★★★★★ hip/knee complications 4.2% |
| Trinity Health Muskegon Hospital (former Mercy Health Hackley) | Hospital | $90cash | 0.7× | ★★★★★ hip/knee complications 4.4% |
| McLaren Greater Lansing | Hospital | $96cash | 0.8× | ★★★★★ hip/knee complications 3.3% |
| McLaren Northern Michigan (Petoskey) | Hospital | $96cash | 0.8× | ★★★★★ hip/knee complications 4.3% |
| McLaren Oakland (Pontiac) | Hospital | $96cash | 0.8× | ★★★★★ |
| Corewell Health Taylor Hospital | Hospital | $105negotiated | 0.8× | ★★★★★ hip/knee complications 3.7% |
| Corewell Health Trenton Hospital | Hospital | $105negotiated | 0.8× | ★★★★★ |
| Corewell Health Wayne Hospital | Hospital | $105negotiated | 0.8× | ★★★★★ |
| Henry Ford Providence Southfield Hospital (former Ascension Providence) | Hospital | $111cash | 0.9× | ★★★★★ hip/knee complications 4.8% |
| Trinity Health Ann Arbor Hospital | Hospital | $114negotiated | 0.9× | ★★★★★ hip/knee complications 3.3% |
| Henry Ford Jackson Hospital (former Allegiance Health) | Hospital | $116cash | 0.9× | ★★★★★ hip/knee complications 3.8% |
| MyMichigan Medical Center Alpena | Hospital | $119cash | 0.9× | ★★★★★ hip/knee complications 4.1% |
| MyMichigan Medical Center Midland | Hospital | $119cash | 0.9× | ★★★★★ hip/knee complications 2.9% |
| MyMichigan Medical Center Saginaw (former St. Mary's of Michigan) | Hospital | $119cash | 0.9× | ★★★★★ hip/knee complications 4.7% |
| Trinity Health Grand Rapids Hospital (former Mercy Health Saint Mary's) | Hospital | $119negotiated | 1.0× | ★★★★★ hip/knee complications 3.4% |
| Henry Ford Hospital (Detroit) | Hospital | $120cash | 1.0× | ★★★★★ |
| Henry Ford Macomb Hospital (Clinton Township) | Hospital | $120cash | 1.0× | ★★★★★ hip/knee complications 5.6% |
| Henry Ford West Bloomfield Hospital | Hospital | $120cash | 1.0× | ★★★★★ hip/knee complications 3.3% |
| Henry Ford Wyandotte Hospital | Hospital | $120cash | 1.0× | ★★★★★ |
| University of Michigan Health-Sparrow Lansing (Edward W. Sparrow Hospital) | Hospital | $130cash | 1.0× | ★★★★★ |
| Henry Ford Genesys Hospital (Grand Blanc; former Ascension Genesys) | Hospital | $132cash | 1.1× | ★★★★★ hip/knee complications 4.3% |
| Chelsea Hospital (Trinity Health / Michigan Medicine) | Hospital | $134negotiated | 1.1× | ★★★★★ hip/knee complications 3.5% |
| Trinity Health Oakland Hospital (Pontiac) | Hospital | $134negotiated | 1.1× | ★★★★★ hip/knee complications 6.7% |
| Corewell Health Dearborn Hospital | Hospital | $137negotiated | 1.1× | ★★★★★ hip/knee complications 4.6% |
| Corewell Health Farmington Hills Hospital | Hospital | $137negotiated | 1.1× | ★★★★★ hip/knee complications 4% |
| McLaren Port Huron | Hospital | $148cash | 1.2× | ★★★★★ hip/knee complications 4.7% |
| Corewell Health Beaumont Troy Hospital | Hospital | $154negotiated | 1.2× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health William Beaumont University Hospital (Royal Oak) | Hospital | $154negotiated | 1.2× | ★★★★★ hip/knee complications 4.1% |
| Corewell Health Beaumont Grosse Pointe Hospital | Hospital | $154negotiated | 1.2× | ★★★★★ hip/knee complications 3.7% |
| Corewell Health Lakeland Hospital (St. Joseph) | Hospital | $161negotiated | 1.3× | ★★★★★ hip/knee complications 3.4% |
| Surgeons Choice Medical Center (Southfield) [PHYSICIAN-OWNED SURGICAL HOSPITAL] | Hospital | $165cash | 1.3× | — |
| Corewell Health Zeeland Hospital | Hospital | $171cash | 1.4× | ★★★★★ |
| Holland Hospital | Hospital | $177cash | 1.4× | ★★★★★ |
| Henry Ford Rochester Hospital (former Ascension Providence Rochester) | Hospital | $180cash | 1.4× | ★★★★★ hip/knee complications 3.6% |
| Munson Medical Center (Traverse City) | Hospital | $190cash | 1.5× | ★★★★★ hip/knee complications 4.4% |
| Covenant HealthCare (Saginaw) | Hospital | $214cash | 1.7× | ★★★★★ hip/knee complications 4.5% |
| Corewell Health Blodgett Hospital (East Grand Rapids; shares CCN with Butterworth) | Hospital | $231cash | 1.8× | ★★★★★ hip/knee complications 4.5% |
| Corewell Health Butterworth Hospital (Grand Rapids) | Hospital | $231cash | 1.8× | ★★★★★ hip/knee complications 4.5% |
| Beacon Kalamazoo (former Ascension Borgess Medical Center) | Hospital | $234negotiated | 1.9× | ★★★★★ hip/knee complications 3.8% |
| McLaren Macomb (Mount Clemens) | Hospital | $272cash | 2.2× | ★★★★★ |
| DMC Sinai-Grace Hospital gross charge | Hospital | $346cash | 2.8× | ★★★★★ |
| University of Michigan Health-West (Wyoming) gross charge | Hospital | $375cash | 3.0× | ★★★★★ hip/knee complications 4.3% |
| DMC Detroit Receiving Hospital gross charge | Hospital | $387cash | 3.1× | ★★★★★ |
| Hurley Medical Center (Flint) gross charge | Hospital | $462cash | 3.7× | ★★★★★ |
| Henry Ford Providence Novi Hospital (former Ascension Providence; shares CCN with Southfield) gross charge | Hospital | $492negotiated | 3.9× | ★★★★★ hip/knee complications 4.8% |
| Bronson Battle Creek Hospital gross charge | Hospital | $700cash | 5.6× | ★★★★★ hip/knee complications 4.2% |
| Bronson Methodist Hospital (Kalamazoo) gross charge | Hospital | $700cash | 5.6× | ★★★★★ hip/knee complications 4.4% |
| McLaren Flint gross charge | Hospital | $720cash | 5.7× | ★★★★★ hip/knee complications 5.6% |
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. 8 unusually low/high prices excluded from the typical price as likely data errors.
See established patient office visit, moderate complexity prices in another area
What should 99214 cost in Michigan?
For established patient office visit, moderate complexity (CPT 99214) in Michigan, a fair self-pay price is around $120, with hospitals ranging from $105 to $188 across 56 facilities. Medicare's benchmark rate is $125, the benchmark every published rate is measured against. 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 Michigan?
A fair self-pay price for established patient office visit, moderate complexity (CPT 99214) in Michigan is around $120, with hospital prices ranging from $105 to $188 across 56 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 — a fair cash-pay target is roughly 1.5–2× 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.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 99214, ranked, with the phone number and an out-of-pocket estimate.
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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.