CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Garden Grove Hospital & Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$120
about 0.9× the $136 Medicare rate · typically $64–$295
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $62 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $120 This hospital $58 Hospital's list price $643

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 $58

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 $120 (about 0.9× the $136 Medicare rate). Garden Grove Hospital & Medical Center charges insurers about $58 — below the fair price — a good deal. Located in Garden Grove, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $109 80%
Health Net $58 43%
Molina $54 40%
Sentara $54 40%
+ 1 smaller / regional plan $643
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 12601 Garden Grove Blvd, Garden Grove, CA 92843
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals