CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Medstar Health Physical Therapy
Billing Code: 99214 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$131
about 1.0× the $136 Medicare rate · typically $92–$178
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $131 Cash price $127 Hospital's list price $195
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 | $132 - $156 | 97% |
| Blue Cross Blue Shieldmajor | $95 - $125 | 70% |
| Aetnamajor | $126 | 93% |
| Kaiser Permanentemajor | $136 - $347 | 100% |
| + 1 smaller / regional plan | $154 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Medstar Health Physical Therapy
Compare: Office visit, established patient (30-39 min) at other DC hospitals
Insurance negotiated median for the same procedure, sorted lowest first.