CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Johnson Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.6× the $136 Medicare rate · typically $55–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$47
Below the fair price — a good deal
about $28 under the fair price · 0.3× Medicare
Medicare pays $136 Fair price $75 This hospital $47 Cash price $128 Hospital's list price $184

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 9 CT hospitals we have prices for — a strong deal.

Cheapest $47 Priciest $188

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $75 (about 0.6× the $136 Medicare rate). Johnson Memorial Hospital charges insurers about $47, or about $128 in cash — below the fair price — a good deal. Located in Stafford Springs, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 - $171 10%
Blue Cross Blue Shieldmajor $14 - $152 10%
Aetnamajor $14 - $144 10%
Cignamajor $14 - $86 10%
Humanamajor $14 - $95 10%
Kaiser Permanentemajor $17 - $120 13%
Ambetter (Centene) $58 - $65 43%
Clover Health $14 - $86 10%
Harvard Pilgrim $33 - $203 24%
Health Net $23 - $142 17%
HealthPartners $58 - $65 43%
Meridian $14 - $86 10%
Molina $58 - $65 43%
Paramount $58 - $65 43%
Presbyterian $14 - $86 10%
Tufts Health Plan $32 - $200 24%
UniCare $24 - $152 18%
WellMed $14 - $86 10%
WellSense $58 - $65 43%
+ 354 smaller / regional plans $14 - $334
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals