CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sherman Oaks Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$143
about 1.1× the $136 Medicare rate · typically $83–$308
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Below the fair price — a good deal
about $89 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $143 This hospital $54 Hospital's list price $458

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

A typical price — 0 charge more and 4 charge less, among the 9 CA hospitals compared.

Cheapest $38 Priciest $54

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 $143 (about 1.1× the $136 Medicare rate). Sherman Oaks Hospital charges insurers about $54 — below the fair price — a good deal. Located in Sherman Oaks, CA.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $54 - $109 40%
Health Net $54 - $58 40%
Molina $54 40%
+ 2 smaller / regional plans $54
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 4929 Van Nuys Blvd, Sherman Oaks, CA 91403
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals