CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Marshall Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 1.0× the $136 Medicare rate · typically $97–$174
modeled estimate · not a bill or quote
What this hospital charges insurers
$101
Below the fair price — a good deal
about $34 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $135 This hospital $101 Hospital's list price $1,077

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 $101

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 $135 (about 1.0× the $136 Medicare rate). Marshall Medical Center charges insurers about $101 — below the fair price — a good deal. Located in Placerville, 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✓ Aetna✓ Cigna HumanaKaiser 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 - $1,656 74%
Blue Cross Blue Shieldmajor $80 - $2,838 59%
Aetnamajor $84 - $993 62%
Cignamajor $165 - $1,558 122%
Health Net $157 - $1,488 116%
+ 2 smaller / regional plans $56 - $66
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 Marshall Way, Placerville, CA 95667
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals