CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercyone Elkader Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$104
about 0.8× the $136 Medicare rate · typically $79–$202
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $2 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $104 This hospital $106 Cash price $272 Hospital's list price $272

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $49 Priciest $106

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

A fair price for a Office visit, established patient (30-39 min) is about $104 (about 0.8× the $136 Medicare rate). Mercyone Elkader Medical Center charges insurers about $106, or about $272 in cash — about the fair price. Located in Elkader, IA.

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 $57 - $226 42%
Blue Cross Blue Shieldmajor $57 - $156 42%
Aetnamajor $80 - $272 59%
Cignamajor $57 - $253 42%
Humanamajor $57 - $173 42%
Kaiser Permanentemajor $156 115%
Ambetter (Centene) $57 - $225 42%
Clover Health $106 78%
GEHA $194 - $226 143%
Health Net $57 - $272 42%
HealthPartners $57 - $248 42%
Medica $253 187%
Medical Mutual $190 140%
Meridian $57 - $106 42%
Molina $57 42%
Oscar Health $199 147%
Paramount $57 42%
Presbyterian $57 - $106 42%
Sanford Health Plan $184 136%
Tufts Health Plan $57 42%
UCare $200 147%
WellMed $106 78%
WellSense $57 42%
+ 362 smaller / regional plans $57 - $272
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals