CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Coalinga Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$102
about 0.8× the $136 Medicare rate · typically $53–$209
modeled estimate · not a bill or quote
What this hospital charges insurers
$54
Below the fair price — a good deal
about $48 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $102 This hospital $54 Cash price $152 Hospital's list price $254

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 $102 (about 0.8× the $136 Medicare rate). Coalinga Regional Medical Center charges insurers about $54, or about $152 in cash — below the fair price — a good deal. Located in Coalinga, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $51 - $54 38%
Aetnamajor $216 159%
Cignamajor $178 131%
Health Net $51 - $66 38%
+ 1 smaller / regional plan $66
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1191 Phelps Avenue, Coalinga, CA 93210
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals