Doctor visits and therapy CPT 99214 Outpatient

Returning patient visit, 30 min cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 15 hospitals list a cash price for returning patient office visit, moderate complexity or 30+ minutes: from $85.90 to $977.54, with a median of $329.50. The lowest listed price is at Virtua Willingboro Hospital and 4 other hospitals — $243.60 less than the median here. Across Pennsylvania, the median is $201.60 at 73 hospitals.

  • The median here, $329.50, is 86% above the US median of $176.84.
  • That is 2.4× Medicare's 2026 national rate for the same service ($136.02).
  • Philadelphia, PA ranks 2nd of 2 metro areas in Pennsylvania by median, cheapest first.
  • 7 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 15 facilities across 13 cities for code 99214, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 26, 2026; the hospital files themselves were last updated between Dec 31, 2025 and Sep 21, 2026.

Lowest$85.90Virtua Willingboro Hospital + 4 more
Median$329.50half of hospitals charge less
Highest$977.54in this market
Difference11.4×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $85.90Highest $977.54

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Virtua Willingboro Hospital lowest Willinboro, NJ · (609) 835-2900 HC Medication Management Existing Patient 30 - 39 Minutes File of Apr 1, 2026 · source file $85.90 $859.00 $0.01 90%
Virtua West Jersey Hospital - Marlton lowest Voorhees, NJ · (856) 247-3000 HC Medication Management Existing Patient 30 - 39 Minutes File of Apr 1, 2026 · source file $85.90 $859.00 $0.01 90%
Virtua Memorial Hospital lowest Mount Holly, NJ · (609) 267-0700 HC Medication Management Existing Patient 30 - 39 Minutes File of Apr 1, 2026 · source file $85.90 $859.00 $0.01 90%
Virtua Our Lady of Lourdes lowest Camden, NJ · (856) 886-5373 HC Medication Management Existing Patient 30 - 39 Minutes File of Apr 1, 2026 · source file $85.90 $859.00 $0.01 90%
Virtua West Jersey Hospital - Voorhees lowest Voorhees, NJ · (856) 247-3000 HC Medication Management Existing Patient 30 - 39 Minutes+1 more line at this price File of Jun 1, 2026 · source file $85.90 $859.00 $0.01 90%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 Established Patient E/M Level 4 Hospital - CCC+2 more lines at this price File of Sep 21, 2026 · source file $112.49 $187.47 $48.74–$210.61 40%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA · (215) 947-3000 E/M level 4 - Established Patient - MOU+2 more lines at this price File of Sep 21, 2026 · source file $121.74 $202.89 $52.75–$210.61 40%
Nemours Children's Hospital, Delaware Wilmington, DE · (302) 651-4000 Established Office Visit Level Four+1 more line at this price File of Mar 10, 2026 · source file $144.00 $144.00 — —
Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES File of Mar 19, 2026 · source file $329.50 $329.50 $46.05–$122.09 —
St Luke's Hospital - Upper Bucks Campus Quakertown, PA · (267) 985-1000 HB OFFICE/OUTPATIENT VISIT EST (EXTENDED) File of Feb 26, 2026 · source file $520.20 $578.00 $54.42–$478.70 10%
St Luke's Hospital - Grand View Campus Sellersville, PA · (215) 453-4000 HB OFFICE/OUTPATIENT VISIT EST (EXTENDED) File of Feb 26, 2026 · source file $520.20 $578.00 $65.30–$6,258.30 10%
Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 Virtual MED MGMNT MODERATE COMPLEX EST PT APN OPW+8 more lines at this price File of Mar 24, 2026 · source file $673.67 $673.67 $76.53–$1,239.00 —
Inspira Health Center Woodbury Woodbury, NJ MED MGMNT MODERATE COMPLEX EST PT APN+8 more lines at this price File of Mar 24, 2026 · source file $673.67 $673.67 $92.29–$1,239.00 —
Inspira Medical Center Mannington Salem, NJ MED MGMNT MODERATE COMPLEX EST PT APN+8 more lines at this price File of Mar 24, 2026 · source file $673.67 $673.67 $61.24–$1,239.00 —
Inspira Medical Center Mullica Hill Mullica Hill, NJ · (856) 363-1000 MED MGMNT MODERATE COMPLEX EST PT APN+8 more lines at this price File of Mar 24, 2026 · source file $673.67 $673.67 $122.59–$1,239.00 —
The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 HB Clinic-Est/Level 4 File of Dec 31, 2025 · source file $977.54 $977.54 $161.29–$879.79 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $85.90, median $329.50, highest $977.54 — a 11.4× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $520.20. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 6 of 14 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. 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 returning patient visit, 30 min is, what the price covers and why prices differ: Returning patient visit, 30 min explained.