CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Adventist Health Tulare

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 0.8× the $136 Medicare rate · typically $80–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$102
Below the fair price — a good deal
about $12 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $114 This hospital $102 Cash price $36 Hospital's list price $190

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 $102

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 $114 (about 0.8× the $136 Medicare rate). Adventist Health Tulare charges insurers about $102, or about $36 in cash — below the fair price — a good deal. Located in Tulare, 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✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor $102 75%
Blue Cross Blue Shieldmajor $38 - $157 28%
Aetnamajor $74 55%
Cignamajor $96 71%
+ 4 smaller / regional plans $38 - $110
Government programs also on file: Medicaid, Military & VA.
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: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals