How much does Established patient office visit, moderate complexity cost in Tucson, AZ?

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

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
$619
6 facilities ยท typical range $86 โ€“ $1,144 ยท 4.9ร— Medicare PFS
What Medicare paysโ“˜
$125
Market typical
$619
Cash / self-pay price
$619
Prices near you โ€” 6 facilities, lowest first
FacilityTypePricevs MedicareQuality
Banner University Medical Center Tucson lowest Hospital $59cash 0.5ร— โ€”
Banner University Medical Center South (Tucson) Hospital $94cash 0.8ร— โ€”
Tucson Medical Center Hospital $94cash 0.8ร—
hip/knee complications 4.2%
Carondelet St. Joseph's Hospital (Tucson) Hospital $1,144cash 9.1ร—
hip/knee complications 4.1%
Carondelet St. Mary's Hospital (Tucson) Hospital $1,144cash 9.1ร—
hip/knee complications 4.5%
Carondelet Holy Cross Hospital (Nogales) Hospital $1,144cash 9.1ร— 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.
See Established patient office visit, moderate complexity prices in another area

What should 99214 cost in Tucson, AZ?

For Established patient office visit, moderate complexity (CPT 99214) in Tucson, AZ, a fair self-pay price is around $619, with hospitals ranging from $86 to $1,144 across 6 facilities. Medicare's benchmark rate is $125, the floor to negotiate toward. 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 Tucson, AZ?

A fair self-pay price for Established patient office visit, moderate complexity (CPT 99214) in Tucson, AZ is around $619, with hospital prices ranging from $86 to $1,144 across 6 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.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

Compare other procedures in Tucson, AZ

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.