CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Francis Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$81
about 0.6× the $136 Medicare rate · typically $63–$307
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $11 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $81 This hospital $92 Cash price $204 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

Lowest price of the 8 DE hospitals we have prices for — a strong deal.

Cheapest $92 Priciest $159

Black dot = this hospital, among the 8 DE hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $81 (about 0.6× the $136 Medicare rate). St Francis Hospital charges insurers about $92, or about $204 in cash — about the fair price. Located in Wilmington, DE.

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 $75 - $92 55%
Blue Cross Blue Shieldmajor $80 - $109 59%
Aetnamajor $82 - $173 60%
Cignamajor $82 - $168 60%
Humanamajor $82 - $92 60%
Kaiser Permanentemajor $105 77%
Ambetter (Centene) $92 - $118 68%
Clover Health $82 60%
Dean Health Plan $170 - $176 125%
GEHA $75 55%
Health Net $92 - $134 68%
HealthPartners $92 68%
Meridian $82 - $92 60%
Molina $92 68%
Paramount $92 - $176 68%
Presbyterian $82 - $92 60%
Tufts Health Plan $92 68%
WellMed $82 60%
WellSense $92 68%
+ 346 smaller / regional plans $82 - $186
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals