CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Children's Hosp of Los Angeles
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$123
about 0.9× the $136 Medicare rate · typically $31–$216
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $123 Cash price $20 Hospital's list price $20
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $14 - $20 | 10% |
| Blue Cross Blue Shieldmajor | $14 - $20 | 10% |
| Health Net | $20 - $25 | 15% |
| Molina | $20 | 15% |
| Presbyterian | $20 | 15% |
| Sentara | $20 | 15% |
| + 75 smaller / regional plans | $14 - $131 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Children's Hosp of Los Angeles
Compare: Office visit, established patient (30-39 min) at other CA hospitals
- Tri-City Medical Center · Oceanside $38
- Mountains Community Hospital · Lake Arrowhead $38
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $43
- Plumas District Hospital · Quincy $46
- Paradise Valley Hospital · National City $54
- Saint Francis Medical Center · Lynwood $54
- Encino Hospital Medical Center · Encino $54
- La Palma Intercommunity Hospital · La Palma $54
Insurance negotiated median for the same procedure, sorted lowest first.