CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Stanford Health Care

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$146
about 1.1× the $136 Medicare rate · typically $83–$356
modeled estimate · not a bill or quote
What this hospital charges insurers
$340
Well above the fair price
about $194 over the fair price · 2.5× Medicare
Medicare pays $136 Fair price $146 This hospital $340 Cash price $405 Hospital's list price $491

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 $340

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 $146 (about 1.1× the $136 Medicare rate). Stanford Health Care charges insurers about $340, or about $405 in cash — well above the fair price. Located in Stanford, 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 $146. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $412 304%
Blue Cross Blue Shieldmajor $323 - $468 238%
Aetnamajor $363 268%
Cignamajor $182 - $214 134%
Kaiser Permanentemajor $241 - $340 178%
Health Net $373 275%
+ 6 smaller / regional plans $105 - $468
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 300 Pasteur Drive, Stanford, CA 94305
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals