How much does office visit, established, level 4 cost in San Antonio, TX?
CPT 99214 — the fair price, every hospital's price, and the Medicare benchmark for San Antonio, TX.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) lowest | Hospital | $37cash | 0.3× | — |
| University Hospital - University Health (San Antonio) | Hospital | $61cash | 0.5× | — |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $856cash | 6.8× | — |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $856cash | 6.8× | ★★★★★ |
| Methodist Hospital (San Antonio) | Hospital | $856cash | 6.8× | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $856cash | 6.8× | — |
| Northeast Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
| St. Luke's Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
| North Central Baptist Hospital (San Antonio) | Hospital | $1,193cash | 9.5× | — |
- 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.
- Your own published cash / self-pay price for 99214 is $855.64, and negotiated rates at nearby facilities run $458.32–$1,193.25. Please apply a rate in that range to my bill rather than the gross charge.
- 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.
What should 99214 cost in San Antonio, TX?
For office visit, established, level 4 (CPT 99214) in San Antonio, TX, a fair self-pay price is around $856, with hospitals ranging from $458 to $1,193 across 9 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 San Antonio, TX?
A fair self-pay price for office visit, established, level 4 (CPT 99214) in San Antonio, TX is around $856, with hospital prices ranging from $458 to $1,193 across 9 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 San Antonio, TX
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.