How much does established patient office visit, moderate complexity cost in Toledo, OH?
CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for Toledo, OH.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| University Of Toledo Medical Center (Toledo) lowest | Hospital | $91negotiated | 0.7× | ★★★★★ hip/knee complications 5.0% |
| Mercy Health - Tiffin Hospital (Tiffin) | Hospital | $97cash | 0.8× | ★★★★★ |
| Bay Park Community Hospital (Oregon) | Hospital | $100cash | 0.8× | ★★★★★ |
| Memorial Hospital (Fremont) | Hospital | $100cash | 0.8× | ★★★★★ |
| Promedica Toledo Hospital (Toledo) | Hospital | $100cash | 0.8× | ★★★★★ hip/knee complications 5.4% |
| Blanchard Valley Hospital (Findlay) | Hospital | $120cash | 1.0× | ★★★★★ hip/knee complications 7.2% |
| Wood County Hospital (Bowling Green) | Hospital | $150cash | 1.2× | ★★★★★ hip/knee complications 4.5% |
What should 99214 cost in Toledo, OH?
For established patient office visit, moderate complexity (CPT 99214) in Toledo, OH, a fair self-pay price is around $100, with hospitals ranging from $97 to $120 across 7 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 Toledo, OH?
A fair self-pay price for established patient office visit, moderate complexity (CPT 99214) in Toledo, OH is around $100, with hospital prices ranging from $97 to $120 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 — 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 Toledo, OH
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.