CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Phoenix Children's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$122
about 0.9× the $136 Medicare rate · typically $39–$309
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Below the fair price — a good deal
about $82 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $122 This hospital $40 Hospital's list price $264

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Lowest price of the 9 AZ hospitals we have prices for — a strong deal.

Cheapest $40 Priciest $55

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $122 (about 0.9× the $136 Medicare rate). Phoenix Children's Hospital charges insurers about $40 — below the fair price — a good deal. Located in Phoenix, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $102 - $139 75%
Aetnamajor $107 - $215 79%
Cignamajor $163 - $234 120%
+ 13 smaller / regional plans $23 - $190
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1919 East Thomas Road, Phoenix, AZ 85016
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens