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

CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for Arizona.

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
$366
48 facilities · typical range $136 – $1,027 · 2.9× Medicare PFS
What Medicare pays
$125
Market typical
$366
Cash / self-pay price
$366
Prices near you — 48 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner Thunderbird Medical Center (Glendale) lowest ⚠ likely error Hospital $8cash 0.1× ★★★★★
Northern Cochise Community Hospital (Willcox) Hospital $55negotiated 0.4× —
Banner University Medical Center Tucson Hospital $59cash 0.5× —
Banner University Medical Center South (Tucson) Hospital $94cash 0.8× —
Tucson Medical Center Hospital $94cash 0.8×
hip/knee complications 4.2%
Phoenix Children's Hospital Hospital $99negotiated 0.8× —
Valleywise Health Medical Center Hospital $102negotiated 0.8× ★★★★★
Banner Boswell Medical Center (Sun City) Hospital $104cash 0.8× ★★★★★
hip/knee complications 3.5%
Banner Estrella Medical Center (Phoenix) Hospital $129cash 1.0× ★★★★★
Banner Desert Medical Center (Mesa) Hospital $131cash 1.0× ★★★★★
hip/knee complications 4.6%
Kingman Regional Medical Center Hospital $132cash 1.1× —
Dignity Mercy Gilbert Medical Center Hospital $133cash 1.1× ★★★★★
hip/knee complications 3.6%
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. 1 unusually low/high price excluded from the typical price as likely data errors.
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What should 99214 cost in Arizona?

For established patient office visit, moderate complexity (CPT 99214) in Arizona, a fair self-pay price is around $366, with hospitals ranging from $136 to $1,027 across 48 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 Arizona?

A fair self-pay price for established patient office visit, moderate complexity (CPT 99214) in Arizona is around $366, with hospital prices ranging from $136 to $1,027 across 48 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.

Compare other procedures in Arizona

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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.