CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Northside Hospital Cherokee

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$168
about 1.2× the $136 Medicare rate · typically $96–$279
modeled estimate · not a bill or quote
What this hospital charges insurers
$119
Below the fair price — a good deal
about $49 under the fair price · 0.9× Medicare
Medicare pays $136 Fair price $168 This hospital $119 Cash price $290 Hospital's list price $386

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $119

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

A fair price for a Office visit, established patient (30-39 min) is about $168 (about 1.2× the $136 Medicare rate). Northside Hospital Cherokee charges insurers about $119, or about $290 in cash — below the fair price — a good deal. Located in Canton, GA.

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 $86 - $240 63%
Blue Cross Blue Shieldmajor $86 - $250 63%
Aetnamajor $86 - $228 63%
Cignamajor $88 - $155 65%
Humanamajor $86 63%
Kaiser Permanentemajor $86 - $163 63%
Ambetter (Centene) $116 - $158 86%
Amerigroup $116 86%
CareSource $86 - $116 63%
Clover Health $90 66%
Health Net $100 - $161 74%
Oscar Health $116 86%
WellCare $86 63%
+ 3 smaller / regional plans $90 - $184
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals