CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Franklin General Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$119
about 0.9× the $136 Medicare rate · typically $80–$264
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $119 Cash price $220 Hospital's list price $244
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $99 | 73% |
| Aetnamajor | $227 - $232 | 167% |
| Ambetter (Centene) | $102 - $382 | 75% |
| Amerigroup | $103 - $241 | 76% |
| Molina | $104 - $248 | 77% |
| Oscar Health | $358 | 264% |
| + 7 smaller / regional plans | $146 - $358 |
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Franklin General Hospital
Compare: Office visit, established patient (30-39 min) at other IA hospitals
- Mercyone Newton Medical Center · Newton $49
- Sartori Memorial Hospital, Inc · Cedar Falls $49
- Mercyone Dubuque Medical Center · Dubuque $49
- Mercyone Oelwein Medical Center · Oelwein $49
- Dallas County Hospital · Perry $52
- Compass Memorial Healthcare · Marengo $58
- Mercyone North Iowa Medical Center · Mason City $67
- Mercyone Waterloo Medical Center · Waterloo $67
Insurance negotiated median for the same procedure, sorted lowest first.