Doctor visits and therapy CPT 99214 Inpatient — admitted to hospital

Returning patient visit, 30 min cost in Madison, WI — inpatient

In Madison, WI, 2 hospitals list a cash price for returning patient office visit, moderate complexity or 30+ minutes as an inpatient: from $223.60 to $264.80, with a median of $244.20. The lowest listed price is at Aspirus Divine Savior Hospital — $20.60 less than the median here. Across Wisconsin, the median is $185.00 at 81 hospitals.

Cash prices at 2 facilities across 2 cities for code 99214, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Apr 1, 2026.

Lowest$223.60Aspirus Divine Savior Hospital
Median$244.20half pay less
Highest$264.80in this market
Difference1.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Madison, WI.

median
Lowest $223.60Highest $693.74

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $223.60 $344.00 — 35% Apr 1, 2026
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Aspirus Divine Savior Hospital lowest Portage, WI · (608) 742-4131 Pro Office/Outpatient Established Mod Mdm 30-39 Min $223.60 $344.00 — 35% Apr 1, 2026
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Aspirus Divine Savior Hospital Portage, WI · (608) 742-4131 Fac Office/Outpatient Established Mod Mdm $259.35 $399.00 — 35% Apr 1, 2026
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UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $264.80 $331.00 $76.13–$314.45 20% Jan 28, 2026
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UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OP VISIT EST PT LEVEL 4 $329.05 $411.31 $89.40–$390.74 20% Jan 28, 2026
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UnityPoint Health - Meriter Madison, WI · (608) 417-6210 PR OFFICE CONSULT LVL 4 $693.74 $867.17 $89.40–$823.81 20% Jan 28, 2026
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Inpatient: lowest $223.60, median $244.20, highest $264.80 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $244.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is an office or outpatient visit for a returning patient with moderate complexity decision making, or at least 30 minutes of total clinician time on the visit date. It is often used for managing several chronic conditions or adjusting prescription medicines.

What the price covers

The price covers the clinician's visit. Lab tests, X-rays, procedures and any hospital facility fee at a hospital-owned clinic are billed separately.