CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint John's Health Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$125
about 0.9× the $136 Medicare rate · typically $64–$295
modeled estimate · not a bill or quote
What this hospital charges insurers
$269
Well above the fair price
about $144 over the fair price · 2.0× Medicare
Medicare pays $136 Fair price $125 This hospital $269

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 $269

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 $125 (about 0.9× the $136 Medicare rate). Saint John's Health Center charges insurers about $269 — well above the fair price. Located in Santa Monica, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $125. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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
Aetnamajor $269 198%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2121 Santa Monica Blvd, Santa Monica, CA 90404
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals