CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Medstar Washington Hospital Center
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$191
about 1.4× the $136 Medicare rate · typically $98–$318
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $191 Cash price $223 Hospital's list price $343
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✓ Kaiser Permanente CignaHumana
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 | $100 | 74% |
| Blue Cross Blue Shieldmajor | $99 | 73% |
| Aetnamajor | $128 | 94% |
| Kaiser Permanentemajor | $115 - $347 | 85% |
| Amerigroup | $395 | 291% |
| AmeriHealth | $395 | 291% |
| + 1 smaller / regional plan | $165 - $395 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Medstar Washington Hospital Center
Compare: Office visit, established patient (30-39 min) at other DC hospitals
Insurance negotiated median for the same procedure, sorted lowest first.