CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Washington County Hospital and Clinics

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$113
about 0.8× the $136 Medicare rate · typically $87–$228
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
0.8× Medicare
Medicare pays $136 Fair price $113 This hospital $113 Cash price $202 Hospital's list price $269

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 $113

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 $113 (about 0.8× the $136 Medicare rate). Washington County Hospital and Clinics charges insurers about $113, or about $202 in cash — about the fair price. Located in Washington, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $90 - $269 66%
Aetnamajor $87 - $261 64%
Humanamajor $91 - $110 67%
Ambetter (Centene) $157 116%
HealthPartners $87 - $229 64%
Molina $111 82%
WellCare $91 - $111 67%
+ 5 smaller / regional plans $89 - $269
Government programs also on file: Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 400 East Polk Street, Washington, IA 52353
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals