CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$179
about 1.3× the $136 Medicare rate · typically $114–$316
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
Below the fair price — a good deal
about $39 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $179 This hospital $140 Cash price $200 Hospital's list price $200

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 $140

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 $179 (about 1.3× the $136 Medicare rate). UCSF Health St. Mary's Hospital charges insurers about $140, or about $200 in cash — below the fair price — a good deal. Located in San Francisco, 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✓ Cigna✓ Kaiser Permanente AetnaHumana

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 $200 147%
Blue Cross Blue Shieldmajor $67 - $200 49%
Cignamajor $206 - $219 152%
Kaiser Permanentemajor $67 - $152 49%
Health Net $98 72%
+ 7 smaller / regional plans $67 - $200
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals