Office visit established patient moderate complexity
CPT 99214 • Office Visits
North Carolina price range
Lowest
$4
Average
$139
Highest
$509
Based on 2,353 negotiated rates from NC hospitals.
About this procedure
An established-patient office visit (level 4) — a more involved 25-minute appointment for a moderately complex problem like managing diabetes or a new symptom requiring workup.
What to expect
Longer than a 99213 visit; the provider documents more detail and your concern requires more thinking through. Often the right code for a follow-up after a hospital stay or when starting a new medication. Cost is 30-50% higher than a 99213.
Top hospitals in NC
| Hospital | Rates | Min | Avg | Max |
|---|---|---|---|---|
| IREDELL MEMORIAL HOSPITAL INCORPORATED STATESVILLE, NC | 3 | $4 | $21 | $30 |
| SOUTHEASTERN PHARMACY HEALTH PARK LUMBERTON, NC | 1 | $4 | $4 | $4 |
| SLEEP DOC DIRECT PLLC CHAPEL HILL, NC | 1 | $30 | $30 | $30 |
| GREENVILLE EYE CLINIC INC GREENVILLE, NC | 1 | $30 | $30 | $30 |
| NEW HOPE SPECIALTY CLINIC CHARLOTTE, NC | 1 | $30 | $30 | $30 |