CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ventura County Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$156
about 1.1× the $136 Medicare rate · typically $99–$254
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
Below the fair price — a good deal
about $51 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $156 This hospital $105 Cash price $225 Hospital's list price $450

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $105

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

A fair price for a Office visit, established patient (30-39 min) is about $156 (about 1.1× the $136 Medicare rate). Ventura County Medical Center charges insurers about $105, or about $225 in cash — below the fair price — a good deal. Located in Ventura, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $101 74%
Blue Cross Blue Shieldmajor $113 - $116 83%
Cignamajor $96 71%
Humanamajor $87 64%
Health Net $118 - $338 87%
+ 9 smaller / regional plans $86 - $322
Government programs also on file: Medicaid.
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: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals