CPT/HCPCS 99214 · Office visit
How much should office visit, established patient, moderate complexity cost?
$195–$390
Based on the national Medicare reference rate (~$130) at a typical commercial multiple of 1.5×–3×. This is an order-of-magnitude estimate, not a quote — your hospital's actual contracted rate may differ.
Why prices vary for this
Office-visit codes are billed by complexity of decision-making, not just time spent. Rates vary by whether the facility charges a separate "facility fee" on top of the professional charge.
Excessive facility fee
If a facility fee makes up most of your bill for a routine visit, BillMender's checker flags it.
Check my office visit, established patient, moderate complexity chargeBillMender is a document-preparation tool, not a law firm, and does not provide legal advice. We don't guarantee any outcome or dollar amount. Estimates are based on public reference pricing, not your hospital's actual contract rates.