CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $49
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Sartori Memorial Hospital, Inc is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.36x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $207 (153%)
Insurance Median: $49 (36%)
Cash: $207 (153% of Medicare)
Ins. Median: $49 (36% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Champva $14 - $89 10%
Humana $14 - $129 10%
Tricare $14 - $89 10%
Triwest Health Alliance $14 - $89 10%
Us Family Health Plan $14 - $89 10%
Veterans Eval Services $14 - $89 10%
Medicaid / KanCare $16 - $80 12%
Amish Hospital Aid $17 - $107 13%
Amps $17 - $108 13%
Avera $20 - $122 15%
Multiplan $20 - $201 15%
Health Partners $21 - $183 15%
Medical Associates $21 - $134 15%
Ambetter / Centene $22 - $137 16%
Bcn Domestic $22 - $137 16%
Blue Benefit Administrators Of Massachusetts $22 - $137 16%
Blue Care Network $22 - $137 16%
Blue Cross Blue Shield $22 - $137 16%
Blue Distinction Transplant $22 - $137 16%
Blue Shield - Ca $22 - $137 16%
Blue Shield - Id (Regence) $22 - $137 16%
Blue Shield - Ny Highmark Northeastern $22 - $137 16%
Blue Shield - Ny Highmark Western $22 - $137 16%
Blue Shield - Pa (Highmark) $22 - $137 16%
Blue Shield - Wa (Regence) $22 - $137 16%
Health Choices $22 - $165 16%
Kaiser Domestic $22 - $137 16%
Newton Correctional Facility $22 - $136 16%
Pre-Employment $22 - $137 16%
Sanford Health Plan $22 - $135 16%
Wc Domestic $22 - $137 16%
Lucent Health $23 - $145 17%
Stephenson Cty Health $23 - $142 17%
Ucare $23 - $143 17%
Health Smart $24 - $149 18%
Oscar $24 - $148 18%
Centivo $25 - $157 18%
Genex Wc $25 - $157 18%
Usa Managed Care $25 - $156 18%
Wc Align Network $26 - $167 19%
Claimdoc $27 - $168 20%
Geha $27 - $168 20%
The Alliance $27 - $169 20%
UnitedHealthcare $27 - $168 20%
Wc Praxis Health Network $28 - $178 21%
Aetna $29 - $209 21%
Global Excel $29 - $182 21%
Meritain $29 - $179 21%
Wc Reny Company $29 - $182 21%
Wc Velocity $29 - $182 21%
Auto Velocity $30 - $188 22%
Velocity $30 - $189 22%
Wc O'Hara Corp $30 - $188 22%
Preferred One $31 - $195 23%
Allied Benefit Systems $33 - $165 24%
Andrie Inc $33 - $209 24%
Auxiant $33 - $165 24%
Cigna $33 - $165 24%
East Greenbush Central School District $33 - $209 24%
First Choice Health $33 - $165 24%
Group Administrators $33 - $165 24%
Healthsmart Workers Comp $33 - $209 24%
Iowa Dept Of Public Health $33 - $89 24%
Jag Source $33 - $209 24%
Midlands $33 - $165 24%
Midlands Choice $33 - $165 24%
Nebraska Total Care $33 - $75 24%
New York State Insurance Fund $33 - $209 24%
Njm Insurance Group $33 - $209 24%
Quiktrip $33 - $209 24%
Rx Heatlhcomp $33 - $209 24%
Rx Restat $33 - $209 24%
Rx Saif Opdp Wc $33 - $209 24%
Rx Worker'S Comp $33 - $209 24%
Wc Accident Fund $33 - $209 24%
Wc Ace $33 - $209 24%
Wc Acs Federal Employees $33 - $209 24%
Wc Acuity $33 - $209 24%
Wc Advantage $33 - $209 24%
Wc Aegis $33 - $209 24%
Wc Aig $33 - $209 24%
Wc Aims $33 - $209 24%
Wc Alaska National Ins $33 - $209 24%
Wc Allied $33 - $209 24%
Wc Am Trust N America $33 - $209 24%
Wc American Claims Mgmt $33 - $209 24%
Wc Amerisure $33 - $209 24%
Wc Amtrust $33 - $209 24%
Wc Asu Risk Mgt $33 - $209 24%
Wc Benetech $33 - $209 24%
Wc Berkley Admin $33 - $209 24%
Wc Broadspire $33 - $209 24%
Wc Broward County $33 - $209 24%
Wc Bunch & Associates $33 - $209 24%
Wc California State Comp Ins $33 - $209 24%
Wc California State Ins Fund $33 - $209 24%
Wc Capitol Area Health Consortium $33 - $209 24%
Wc Ccmsi $33 - $209 24%
Wc Chartis $33 - $209 24%
Wc Chubb $33 - $209 24%
Wc Cirma $33 - $209 24%
Wc City Of Albany $33 - $209 24%
Wc City Of Sioux City $33 - $209 24%
Wc Claims Mgmt Inc $33 - $209 24%
Wc Cna $33 - $209 24%
Wc Comp One Admin C/O Manageability $33 - $209 24%
Wc Compone Admin $33 - $209 24%
Wc Ct Healthcare Trust $33 - $209 24%
Wc Donegal Insurance Group $33 - $209 24%
Wc Emc Insurance Company $33 - $209 24%
Wc Employee Mutual $33 - $209 24%
Wc Enablecomp $33 - $209 24%
Wc Encore Health Network $33 - $209 24%
Wc Erie $33 - $209 24%
Wc Esis $33 - $209 24%
Wc Evolutions $33 - $209 24%
Wc Fcci $33 - $209 24%
Wc Fed Ex $33 - $209 24%
Wc Federal Black Lung $33 - $209 24%
Wc Federated $33 - $209 24%
Wc Finley Occupational Health $33 - $209 24%
Wc First Agency/Occunet $33 - $209 24%
Wc Ford Motor $33 - $209 24%
Wc Fresno Unified Emp $33 - $209 24%
Wc Gallagher Bassett $33 - $209 24%
Wc General Motors $33 - $209 24%
Wc Generic $33 - $209 24%
Wc Genex Care For Ohio $33 - $209 24%
Wc Great West Casualty $33 - $209 24%
Wc Guarantee Insurance $33 - $209 24%
Wc Guard Insurance Company $33 - $209 24%
Wc Hab $33 - $209 24%
Wc Hartford $33 - $209 24%
Wc Hastings $33 - $209 24%
Wc Health Management $33 - $209 24%
Wc Heritage Summit $33 - $209 24%
Wc Hireright $33 - $209 24%
Wc Horizon $33 - $209 24%
Wc Icw Group $33 - $209 24%
Wc Idaho State Ins Fund $33 - $209 24%
Wc Intercare Insurance $33 - $209 24%
Wc Intermountain $33 - $209 24%
Wc Johns Eastern $33 - $209 24%
Wc Kemberton $33 - $209 24%
Wc Key Ins & Benefit Solutions $33 - $209 24%
Wc Liberty Mutual $33 - $209 24%
Wc Mac Risk Management $33 - $209 24%
Wc Massachusetts $33 - $209 24%
Wc Mdia $33 - $209 24%
Wc Meadowbrook Claim $33 - $209 24%
Wc Medical Administrators $33 - $209 24%
Wc Meijers $33 - $209 24%
Wc Memic $33 - $209 24%
Wc Mercy Workcare $33 - $209 24%
Wc Michigan $33 - $209 24%
Wc Michigan Millers Mutual $33 - $209 24%
Wc Mitchell Frankenmuth $33 - $209 24%
Wc Mra $33 - $209 24%
Wc Nationwide $33 - $209 24%
Wc Nca Comp $33 - $209 24%
Wc New York $33 - $209 24%
Wc New York Special Funds $33 - $209 24%
Wc North American Rishces $33 - $209 24%
Wc Northeast Health $33 - $209 24%
Wc Notre Dame $33 - $209 24%
Wc Novanet $33 - $209 24%
Wc Occ Health Allen $33 - $209 24%
Wc Ohio Bureau $33 - $209 24%
Wc One Call Medical $33 - $209 24%
Wc Paradigm $33 - $209 24%
Wc Peerless $33 - $209 24%
Wc Pma $33 - $209 24%
Wc Price Chopper $33 - $209 24%
Wc Procura Management $33 - $209 24%
Wc Qualcare $33 - $209 24%
Wc Quiktrip $33 - $209 24%
Wc Rev Claims $33 - $209 24%
Wc Risico $33 - $209 24%
Wc Rural Mutual $33 - $209 24%
Wc Saif Oregon $33 - $209 24%
Wc Secura $33 - $209 24%
Wc Sedgwick $33 - $209 24%
Wc Sentry $33 - $209 24%
Wc Sheakley Unicomp $33 - $209 24%
Wc Smile Lodge $33 - $209 24%
Wc Society $33 - $209 24%
Wc Srs $33 - $209 24%
Wc Taconic (Mro) $33 - $209 24%
Wc Taconic Farms $33 - $209 24%
Wc Travelers $33 - $209 24%
Wc Triad Group $33 - $209 24%
Wc Tristar $33 - $209 24%
Wc Troy Ny $33 - $209 24%
Wc Tyson $33 - $209 24%
Wc Unified Health Services $33 - $209 24%
Wc United Heartland $33 - $209 24%
Wc Us Dept Of Labor $33 - $209 24%
Wc Walmart $33 - $209 24%
Wc West Bend $33 - $209 24%
Wc West Bend Mutual/Argent $33 - $209 24%
Wc Winnebago Industries $33 - $209 24%
Wc Yankee Trails $33 - $209 24%
Wc York Risk $33 - $209 24%
Wc Zenith $33 - $209 24%
Wc Zurich $33 - $209 24%
Albany County Correctional Facility $43 - $49 32%
Amish Mennonite $43 - $49 32%
Ascension St. Vincent Public Safety Medical $43 - $49 32%
Bcccp-Michigan $43 - $49 32%
Bccp $43 - $49 32%
Bmc Healthnet $43 - $49 32%
Breast Grant-Connecticut $43 - $49 32%
Broward County Dept Of Health $43 - $49 32%
California Health And Wellness $43 - $49 32%
Can Community Health Inc $43 - $49 32%
Cardinal Innovations Lme $43 - $49 32%
Care Connections Of Northern Iowa $43 - $49 32%
Care Oregon Ohp $43 - $49 32%
Cencal Health Plan $43 - $49 32%
Cenpatico $43 - $49 32%
Chhuny $43 - $49 32%
Childrens Comm Health Plan $43 - $49 32%
Childrens Medical Services Title 19 $43 - $49 32%
City Of Philadelphia $43 - $49 32%
Cmh Allegan County $43 - $49 32%
Cmh Ausable Valley $43 - $49 32%
Cmh Barry County $43 - $49 32%
Cmh Bay-Arenac County $43 - $49 32%
Cmh Berrien County $43 - $49 32%
Cmh Cass County $43 - $49 32%
Cmh Central Mi County $43 - $49 32%
Cmh Clinton-Eaton-Ingham County $43 - $49 32%
Cmh Detroit Wayne Integrated Health Network $43 - $49 32%
Cmh Genesee County $43 - $49 32%
Cmh Ionia County $43 - $49 32%
Cmh Jackson County/Lifeways $43 - $49 32%
Cmh Kalamazoo $43 - $49 32%
Cmh Kent County $43 - $49 32%
Cmh Lenawee County $43 - $49 32%
Cmh Livingston County $43 - $49 32%
Cmh Macomb $43 - $49 32%
Cmh Misc $43 - $49 32%
Cmh Monroe County $43 - $49 32%
Cmh Montcalm County $43 - $49 32%
Cmh Muskegon County $43 - $49 32%
Cmh Newaygo County $43 - $49 32%
Cmh North Country $43 - $49 32%
Cmh Northern Lakes County $43 - $49 32%
Cmh Oakland County $43 - $49 32%
Cmh Ottawa County $43 - $49 32%
Cmh Van Buren County $43 - $49 32%
Cmh Washtenaw County $43 - $49 32%
Cmh Wayne County/Carelink $43 - $49 32%
Cmh Wayne Cty/Com Liv Svcs $43 - $49 32%
Cmh West Mi County $43 - $49 32%
Community Benefit Health $43 - $49 32%
Community Care Behavorial Health $43 - $49 32%
Community Care Partners $43 - $49 32%
Community Health Choice $43 - $49 32%
Connections Csp $43 - $49 32%
County Coroner $43 - $49 32%
County Funding Generic $43 - $49 32%
Covid19 Hrsa Uninsured Testing And Treatment Fund $43 - $49 32%
Dean Wi Badgercare $43 - $49 32%
Delaware County Department Of Health $43 - $49 32%
Delaware First Health $43 - $49 32%
Delta Dental Nj $43 - $49 32%
Dph Tb Program $43 - $49 32%
Dscc $43 - $49 32%
Eastpointe Lme $43 - $49 32%
Family Health Network $43 - $49 32%
Freedom First Healthcare $43 - $49 32%
Fresno County Ccs $43 - $49 32%
Ghc Scw Wi Badgercare $43 - $49 32%
Harbor Health $43 - $49 32%
Health Safety Net $43 - $49 32%
Healthy Blue Ne $43 - $49 32%
Hennepin Health $43 - $49 32%
Id County Ada $43 - $49 32%
Id County Canyon $43 - $49 32%
Id County Cat Fund $43 - $49 32%
Id County Other $43 - $49 32%
Id County Payette $43 - $49 32%
Idaho Dept Health And Wellfare $43 - $49 32%
Idaho Womens Health Check $43 - $49 32%
Indiana Breast Cervical Cancer $43 - $49 32%
Inland Empire Health Plan $43 - $49 32%
Intercommunity Health Ohp $43 - $49 32%
Iowa Total Care $43 - $50 32%
Jai Medical System $43 - $49 32%
Kern Family Health Plan $43 - $49 32%
Keystone First $43 - $49 32%
Keystone First Chip $43 - $49 32%
La Care Health Plan $43 - $49 32%
Lakeland Care Inc $43 - $49 32%
Managed Health Services - Indiana $43 - $49 32%
Maryland Breast & Cervical Program $43 - $49 32%
Maryland Healthy Smiles - Scion Dental $43 - $49 32%
Maryland Physicians Care $43 - $49 32%
Massachusetts Behavioral Health Partnership $43 - $49 32%
Mdwise $43 - $49 32%
Medi-Cal $43 - $49 32%
Medi-Cal Healthnet $43 - $49 32%
Medstar Dc Healthy Family $43 - $49 32%
Medstar Md Health Choice $43 - $49 32%
Mo Home State Health Plan $43 - $49 32%
Molina Centennial Care $43 - $49 32%
Nascentia Health Options $43 - $49 32%
New York Cancer Services Program $43 - $49 32%
Nextlevel Health $43 - $49 32%
Oregon Screenwise $43 - $49 32%
Pace Of Southwest Michigan $43 - $79 32%
Paramount Advantage $43 - $49 32%
Parkland Community Health Plan $43 - $49 32%
Partners Behavioral Lme $43 - $49 32%
Peach State Healthplan $43 - $49 32%
Philadelphia County Funding $43 - $49 32%
Presbyterian Centennial Care $43 - $49 32%
Prestige Health Choice $43 - $49 32%
Priority Partners $43 - $49 32%
Robert F Sing Program $43 - $49 32%
Rx 340B Pass Along $43 - $49 32%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $43 - $49 32%
Rx Medi-Cal $43 - $49 32%
Rx Meridian Rx $43 - $49 32%
Ryan White Florida Mssrp $43 - $49 32%
Sandhills Center Lme $43 - $49 32%
Screening For Life $43 - $49 32%
St Joseph County Hlth Dpt $43 - $49 32%
Sunshine State Health Plan $43 - $49 32%
Superior Health $43 - $49 32%
Tenncare $43 - $49 32%
Texas Children'S Health Plan $43 - $49 32%
Trillium Community Ohp $43 - $49 32%
Tufts Health Public Plans $43 - $49 32%
Vaya Health Lme $43 - $49 32%
Washtenaw Health Plan $43 - $49 32%
Wellsense Health Plan $43 - $49 32%
Wi Womens Wellness $43 - $49 32%
Wellpoint $44 - $51 32%
Align Senior Care $67 - $79 49%
Ally Align Care Adv $67 - $79 49%
American Health Advantage Of Idaho $67 - $79 49%
Aurora Special Needs $67 - $79 49%
Blue Care Network Advantage $67 - $79 49%
Blue Shield - De (Highmark) Medciare Advantage $67 - $79 49%
Care Dimensions $67 - $79 49%
Care Improvement Plus $67 - $79 49%
Care Resources Pace $67 - $79 49%
Careplus Health Plans $67 - $79 49%
Cca - Zing Health $67 - $79 49%
Cca Senior Care Options $67 - $79 49%
Central Valley Medical Services Corp Pace $67 - $79 49%
Champion Health Plan Mcr Advantage $67 - $79 49%
Clear Spring Health $67 - $79 49%
Clover Health $67 - $79 49%
Commonwealth Care Alliance $67 - $79 49%
Community Pace At Home $67 - $79 49%
Eddy Senior Care-Pace $67 - $79 49%
Eddy Seniorcare Pace $67 - $79 49%
Elementcare $67 - $79 49%
Evercare $67 - $79 49%
Everence $67 - $79 49%
Gateway Health Plan $67 - $79 49%
Genesys Pace Of Genesee County $67 - $79 49%
Georgia Health Advantage $67 - $79 49%
Gold Advantage $67 - $79 49%
Gpa Croell Redi Mix $67 - $79 49%
Health America Advantra $67 - $79 49%
Highmark Health Options Dual Plan $67 - $79 49%
Hope Select Pace $67 - $79 49%
Horizon Nj Total Care $67 - $79 49%
Hudson Headwaters Pace $67 - $79 49%
Huron Valley Pace $67 - $79 49%
Innovative Integrated Health Community Plans $67 - $79 49%
Johns Hopkins Advantage Md $67 - $79 49%
Lasso Healthcare Msa $67 - $79 49%
Life St Marys Pace $67 - $79 49%
Lifecircles Pace $67 - $79 49%
Longevity Health Plan $67 - $79 49%
Longevity Ipa Of Michigan Llc Health Plan Isnp $67 - $79 49%
Martins Point Generations Advantage $67 - $79 49%
Mass General Brigham Mcr Adv $67 - $79 49%
Medicare (plans) $67 - $84 49%
Medipak Advantage $67 - $79 49%
Mercy Life $67 - $79 49%
Mercyone Cedar Valley $67 - $79 49%
Meridian Complete $67 - $79 49%
Michigan Complete Health $67 - $79 49%
Nascentia Health Plus $67 - $79 49%
New Centry Health Careplus $67 - $79 49%
Osu Prime Care Advantage $67 - $79 49%
Pace Cny $67 - $79 49%
Pace Iowa Immanuel Pathways $67 - $79 49%
Pace Southeast $67 - $79 49%
Pace-Trinity Health $67 - $79 49%
Peak Pace Solutions $67 - $79 49%
Perennial Advantage $67 - $79 49%
Preferred Care Partners $67 - $79 49%
Presbyterian Senior Plan $67 - $79 49%
Provider Partners Health Plan Of Illinois $67 - $79 49%
Provider Partners Health Plan Of Indiana $67 - $79 49%
Pruitthealth Premier $67 - $79 49%
Reliance Community Care Partners Care Resources Pace $67 - $79 49%
Rx Allwin $67 - $79 49%
Rx Grane Grnmedd $67 - $79 49%
Rx Retiree Rx Care $67 - $79 49%
Scan Health Plan Mcr Ipa Meritage Oon $67 - $79 49%
Secure Horizons Ma Pffs $67 - $79 49%
Serenity Pace $67 - $79 49%
Siouxland Pace $67 - $79 49%
Solis Health Plans $67 - $79 49%
Sunnyview-Pace Finance Dept $67 - $79 49%
Texan Plus $67 - $79 49%
The Health Plan $67 - $79 49%
Thome Pace $67 - $79 49%
Todays Options $67 - $79 49%
Tribute Health Plans $67 - $79 49%
Um Health Advantage $67 - $79 49%
Union Health Service $67 - $79 49%
Welbe Health $67 - $79 49%
Wellmed $67 - $79 49%
Veterans Administration $68 - $80 50%
American Health Plan $70 - $83 52%
Iowa Health Advantage $70 - $83 52%
Wc Corvel $76 56%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals