How much does established patient office visit, moderate complexity cost in shenandoah-valley?

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

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
$215
2 facilities ยท typical range $215 โ€“ $215 ยท 1.7ร— Medicare PFS
What Medicare pays
$125
Market typical
$215
Cash / self-pay price
$215
Prices near you โ€” 2 facilities, lowest first
FacilityTypePricevs MedicareQuality
Valley Health Warren Memorial Hospital (Front Royal) lowest Hospital $215cash 1.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Valley Health Winchester Medical Center (Winchester) Hospital $215cash 1.7ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 2.6%
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.
See established patient office visit, moderate complexity prices in another area

What should 99214 cost in shenandoah-valley?

For established patient office visit, moderate complexity (CPT 99214) in shenandoah-valley, a fair self-pay price is around $215, with hospitals ranging from $215 to $215 across 2 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 shenandoah-valley?

A fair self-pay price for established patient office visit, moderate complexity (CPT 99214) in shenandoah-valley is around $215, with hospital prices ranging from $215 to $215 across 2 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 shenandoah-valley

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.