Office visit established patient moderate complexity
CPT 99214 • Office Visits
North Carolina price range
Lowest
$4
Average
$133
Highest
$509
Based on 501 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 DAVIS BEHAVIORAL HEALTH HOSPITAL STATESVILLE, NC | 4 | $4 | $42 | $71 |
| BLUE RIDGE HEALTHCARE HOSPITALS, INC. MORGANTON, NC | 3 | $30 | $54 | $71 |
| EAST CAROLINA HEALTH-BERTIE WINDSOR, NC | 3 | $42 | $59 | $71 |
| SOUTHEASTERN REGIONAL MEDICAL CENTER LUMBERTON, NC | 2 | $4 | $31 | $58 |
| ADVENTHEALTH HENDERSONVILLE HENDERSONVILLE, NC | 2 | $30 | $50 | $71 |