CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Saint Agnes Medical Center
Billing Code: 99214 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$52
about 0.4× the $136 Medicare rate · typically $36–$78
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $52 Cash price $33 Hospital's list price $33
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $14 - $106 | 10% |
| Blue Cross Blue Shieldmajor | $17 - $139 | 13% |
| Aetnamajor | $14 - $106 | 10% |
| Cignamajor | $17 - $121 | 13% |
| Humanamajor | $15 - $95 | 11% |
| Kaiser Permanentemajor | $22 - $166 | 16% |
| Ambetter (Centene) | $30 - $93 | 22% |
| Clover Health | $83 | 61% |
| GEHA | $14 - $90 | 10% |
| Health Net | $17 - $106 | 13% |
| HealthPartners | $30 - $93 | 22% |
| Meridian | $30 - $93 | 22% |
| Molina | $30 - $93 | 22% |
| Paramount | $30 - $93 | 22% |
| Presbyterian | $30 - $93 | 22% |
| Tufts Health Plan | $30 - $93 | 22% |
| WellMed | $83 | 61% |
| WellSense | $30 - $93 | 22% |
| + 336 smaller / regional plans | $14 - $139 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Saint Agnes Medical Center
Compare: Office visit, established patient (30-39 min) at other CA hospitals
- Tri-City Medical Center · Oceanside $38
- Mountains Community Hospital · Lake Arrowhead $38
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $43
- Plumas District Hospital · Quincy $46
- Paradise Valley Hospital · National City $54
- Saint Francis Medical Center · Lynwood $54
- Encino Hospital Medical Center · Encino $54
- La Palma Intercommunity Hospital · La Palma $54
Insurance negotiated median for the same procedure, sorted lowest first.