How much does office visit, established, level 4 cost in Colorado Springs, CO?

CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for Colorado Springs, CO.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
99214 Office visit, established, level 4
Ask to pay
$250
About 2.0× what Medicare pays — most hospitals accept a self-pay rate in this range.
What Medicare paysⓘ
$125
Typical price near you
$128
Cash / self-pay price
no data
Prices near you — 5 facilities, lowest first
FacilityTypePricevs MedicareQuality
CommonSpirit Penrose Hospital (Colorado Springs) lowest Hospital $93negotiated 0.7× ★★★★★
CommonSpirit St. Mary-Corwin Hospital (Pueblo) Hospital $93negotiated 0.7× ★★★★★
UCHealth Memorial Hospital Central (Colorado Springs) Hospital $128negotiated 1.0× ★★★★★
UCHealth Parkview Pueblo West Hospital (Pueblo West) Hospital $141negotiated 1.1× —
UCHealth Pikes Peak Regional Hospital (Woodland Park) Hospital $623negotiated 5.0× —
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges.
💬 What to say — negotiation scripts
  • For 99214 (Office visit, established, level 4), Medicare's benchmark rate is $125.18. A fair self-pay target for this line is $250.36. If I was charged more than that, please reduce it toward this benchmark.
  • No local cash price is on file for 99214 in CO. Ask the hospital for their cash/self-pay price for this code in writing.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See office visit, established, level 4 prices in another area

What should 99214 cost in Colorado Springs, CO?

For office visit, established, level 4 (CPT 99214) in Colorado Springs, CO, a fair self-pay price is around $128, with hospitals ranging from $93 to $382 across 5 facilities. Medicare's benchmark rate is $125, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does office visit, established, level 4 cost in Colorado Springs, CO?

A fair self-pay price for office visit, established, level 4 (CPT 99214) in Colorado Springs, CO is around $128, with hospital prices ranging from $93 to $382 across 5 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 99214?

Medicare pays about $125 for office visit, established, level 4 (CPT 99214). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.

Can I negotiate the price of office visit, established, level 4?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

Compare other procedures in Colorado Springs, CO

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.