CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Gaylord Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$119
about 0.9× the $136 Medicare rate · typically $89–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
Below the fair price — a good deal
about $14 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $119 This hospital $105 Cash price $293 Hospital's list price $451

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 3 charge more and 5 charge less, among the 9 CT hospitals compared.

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 $119 (about 0.9× the $136 Medicare rate). Gaylord Hospital charges insurers about $105, or about $293 in cash — below the fair price — a good deal. Located in Wallingford, CT.

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 $88 - $371 65%
Blue Cross Blue Shieldmajor $88 - $375 65%
Aetnamajor $88 - $311 65%
Cignamajor $100 - $362 74%
Harvard Pilgrim $242 - $635 178%
+ 2 smaller / regional plans $88 - $680
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: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL