Office visit, established patient, level 4 at DOMINICAN HOSPITAL.
Insurance rates.
Each row is the range of rates DOMINICAN HOSPITAL negotiated with that payer's plans. Your specific rate depends on your plan.
| Payer | Range |
|---|---|
| Anthem BCBS | $175 – $213 |
| Blue Cross Blue Shield | $127 – $169 |
| Kaiser Permanente | $138 – $1,864 |
| UnitedHealthcare | $190 – $2,552 |
| Cigna | $221 – $235 |
| Medicaid | $67 – $101 |
See DOMINICAN HOSPITAL vs. nearby hospitals.
Open the comparison filtered to office visit, established patient, level 4. Add your insurance, your zip, see exactly what you'd pay.
Compare prices →About this price.
This price comes directly from DOMINICAN HOSPITAL's machine-readable file (MRF), which the Hospital Price Transparency Rule (45 CFR 180.50) requires every US hospital to publish. We download it, parse the row for CPT 99214, and show you the dollar amount as published.
The cash-pay number is what an uninsured patient would be charged. Insurance-negotiated rates vary by payer and plan — see the table above for the range, or use the comparison tool for plan-specific numbers.
For a national view of office visit, established patient, level 4 prices, see the Office visit, established patient, level 4 overview.