How much does established patient office visit, moderate complexity cost in Ohio?

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

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
$147
74 facilities ยท typical range $122 โ€“ $210 ยท 1.2ร— Medicare PFS
What Medicare paysโ“˜
$125
Market typical
$147
Cash / self-pay price
$148
Prices near you โ€” 74 facilities, lowest first
FacilityTypePricevs MedicareQuality
Diley Ridge Medical Center (Canal Winchester) lowest Hospital $33cash 0.3ร— โ€”
Mount Carmel Dublin (Dublin) Hospital $33cash 0.3ร— โ€”
Metrohealth System (Cleveland) Hospital $53cash 0.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.7%
Fairfield Medical Center (Lancaster) Hospital $84cash 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.6%
Adena Regional Medical Center (Chillicothe) Hospital $87cash 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
University Of Toledo Medical Center (Toledo) Hospital $91negotiated 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.0%
Grand Lake Health System (Saint Marys) Hospital $91cash 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Coshocton Regional Medical Center (Coshocton) Hospital $91negotiated 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
East Liverpool City Hospital (East Liverpool) Hospital $92negotiated 0.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Mercy Health - Tiffin Hospital (Tiffin) Hospital $97cash 0.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Bay Park Community Hospital (Oregon) Hospital $100cash 0.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Memorial Hospital (Fremont) Hospital $100cash 0.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
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. 7 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 Ohio?

For established patient office visit, moderate complexity (CPT 99214) in Ohio, a fair self-pay price is around $147, with hospitals ranging from $122 to $210 across 74 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 Ohio?

A fair self-pay price for established patient office visit, moderate complexity (CPT 99214) in Ohio is around $147, with hospital prices ranging from $122 to $210 across 74 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.

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.

Compare other procedures in Ohio

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.