CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Highland Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$182
about 1.3× the $136 Medicare rate · typically $107–$303
modeled estimate · not a bill or quote
What this hospital charges insurers
$189
About the fair price
about $7 over the fair price · 1.4× Medicare
Medicare pays $136 Fair price $182 This hospital $189 Cash price $274 Hospital's list price $548

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 $189

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 $182 (about 1.3× the $136 Medicare rate). Highland Hospital charges insurers about $189, or about $274 in cash — about the fair price. Located in Oakland, 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✓ Kaiser Permanente CignaHumana

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 $198 - $262 146%
Blue Cross Blue Shieldmajor $189 - $466 139%
Aetnamajor $189 - $336 139%
Kaiser Permanentemajor $356 263%
Health Net $330 243%
+ 9 smaller / regional plans $56 - $189
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1411 East 31St Street, Oakland, CA 94602
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals