Doctor visits and therapy CPT 99214 Inpatient — admitted to hospital

Returning patient visit, 30 min cost in Portland, ME — inpatient

In Portland-South Portland, ME, 6 hospitals list a cash price for returning patient office visit, moderate complexity or 30+ minutes as an inpatient: from $63.44 to $294.20, with a median of $139.05. The lowest listed price is at Mercy Hospital — $75.61 less than the median here. Across Maine, the median is $94.80 at 21 hospitals.

Cash prices at 6 facilities across 5 cities for code 99214, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Aug 12, 2025 and Sep 9, 2025.

Lowest$63.44Mercy Hospital
Median$139.05half pay less
Highest$294.20in this market
Difference4.6×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 Portland-South Portland, ME.

median
Lowest $63.44Highest $352.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital lowest Portland, ME ESTABLISHED PATIENT OV LEVEL 4 $63.44 $244.00 $158.60–$182.02 74% —
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Mercy Hospital lowest Portland, ME PF OFFIC/OUTPT VISIT LVL 4 EST $63.44 $244.00 $158.60–$182.02 74% —
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Mercy Hospital lowest Portland, ME OFFICE O/P EST LVL 4 $63.44 $244.00 $158.60–$182.02 74% —
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Mercy Hospital lowest Portland, ME ED FU RECHECK VISIT LEVEL 4 $63.44 $244.00 $158.60–$182.02 74% —
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York Hospital York, ME · (207) 351-2478 DR EST LEVEL 4 W/FAC $94.80 $158.00 — 40% —
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York Hospital York, ME · (207) 351-2478 OFFICE/OUTPATIENT LEVEL 4 VISIT EST TEL $96.00 $160.00 — 40% —
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MaineHealth Biddeford, ME PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN - WOUND CARE $122.35 $122.35 $92.46–$247.35 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 ONCOLOGY CLINIC LEVEL IV $144.00 $240.00 — 40% —
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MaineHealth Portland, ME · (207) 662-0111 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN - AMBULATORY RATE $155.75 $155.75 $92.46–$247.35 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 WHC DOC OFFICE VST EST LEVEL IV $169.20 $282.00 — 40% —
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York Hospital York, ME · (207) 351-2478 OFFICE VISIT IV - CURRENT PT $169.20 $282.00 — 40% —
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York Hospital York, ME · (207) 351-2478 WALKIN VST EST LEVEL IV $175.80 $293.00 — 40% —
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MaineHealth Portland, ME · (207) 662-0111 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $183.15 $183.15 $92.46–$247.35 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 ESTAB PATIENT OFFICE OP VISIT IV $183.60 $306.00 — 40% —
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MaineHealth Biddeford, ME PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $190.35 $190.35 $92.46–$247.35 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 EVAL AND MGMT LEVEL IV EST PT $195.00 $325.00 — 40% —
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York Hospital York, ME · (207) 351-2478 W-EVAL AND MGMT LEVEL IV EST PT $195.00 $325.00 — 40% —
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York Hospital York, ME · (207) 351-2478 OFFICE VST EST LEVEL IV $196.20 $327.00 — 40% —
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MaineHealth Portland, ME · (207) 662-0111 HC OFFICE/OUTPT EST LEV 4 $222.55 $222.55 $163.71–$209.20 — Sep 9, 2025
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MaineHealth Portland, ME · (207) 662-0111 HC OFFICE/OUTPT EST LEV 4 - AMBULATORY RATE $233.65 $233.65 $171.87–$219.63 — Sep 9, 2025
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MaineHealth Westbrook, ME PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN $243.55 $243.55 $92.46–$247.35 — Aug 12, 2025
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MaineHealth Westbrook, ME HC OFFICE/OUTPT EST LEV 4 $243.55 $243.55 $207.02–$228.94 — Aug 12, 2025
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MaineHealth Brunswick, ME · (207) 729-0181 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $294.20 $294.20 $90.65–$247.35 — Sep 9, 2025
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MaineHealth Biddeford, ME HC OFFICE/OUTPT EST LEV 4 $341.20 $341.20 $250.99–$320.73 — Sep 9, 2025
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MaineHealth Brunswick, ME · (207) 729-0181 HC OFFICE/OUTPT EST LEV 4 $352.80 $352.80 $249.08–$333.04 — Sep 9, 2025
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Inpatient: lowest $63.44, median $139.05, highest $294.20 — a 4.6× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $122.35 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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 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.