CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Tri-City Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$118
about 0.9× the $136 Medicare rate · typically $50–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $80 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $118 This hospital $38 Cash price $248 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $38 Priciest $54

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $118 (about 0.9× the $136 Medicare rate). Tri-City Medical Center charges insurers about $38, or about $248 in cash — below the fair price — a good deal. Located in Oceanside, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $174 - $190 128%
Blue Cross Blue Shieldmajor $245 181%
Aetnamajor $83 - $289 61%
Cignamajor $306 - $326 226%
Kaiser Permanentemajor $145 107%
Health Net $38 - $322 28%
Molina $124 91%
Providence Health Plan $124 91%
+ 3 smaller / regional plans $103 - $248
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 4002 Vista Way, Oceanside, CA 92056
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals