How much does an Office visit, established patient cost in Utah?

Office visit, established patient (level 4) · CPT 99214 · State: Utah

In Utah, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $135, with most between $103 and $274 ($337 cash/self-pay). Based on 13 Utah hospitals — 16% lower than the national typical of $160. Hospital list charges run about $433 (3.2× higher).

Insurer-negotiated
$135
Utah · $103$274
Cash / self-pay
$337
typical cash price
Hospital list charge
$433
3.2× the negotiated rate

Source: medians across 13 Utah hospitals' published price files (≥5 reporting). See the national Office visit, established patient (level 4) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Office visit, established patient (level 4) cost in Utah — FAQs

How much does an Office visit, established patient (level 4) cost in Utah?

In Utah, the typical insurer-negotiated price for an Office visit, established patient (level 4) is about $135, with most between $103 and $274, based on 13 Utah hospitals. That's 16% lower than the national typical of $160.

How much does an Office visit, established patient (level 4) cost without insurance in Utah?

Cash or self-pay prices for an Office visit, established patient (level 4) in Utah run around $337. Hospitals often bill the higher "list" charge first (about $433), so ask for the cash or self-pay rate.

Why is my Utah hospital bill for an Office visit, established patient (level 4) so high?

Utah hospital "list" charges for an Office visit, established patient (level 4) run about $433 — roughly 3.2× the $135 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Office visit, established patient (level 4) in Utah?

Yes. If a Utah hospital charged you well above the typical negotiated rate (about $135), that gap is negotiable. Upfronte audits your bill against real Utah hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $135 in Utah?

Upload your bill and Upfronte will check it against real Utah hospital prices and negotiate overcharges. No savings, no fee.

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