CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Orange City Area Health System

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$123
about 0.9× the $136 Medicare rate · typically $80–$266
modeled estimate · not a bill or quote
What this hospital charges insurers
$133
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $123 This hospital $133 Cash price $192 Hospital's list price $240

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 $133

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 $123 (about 0.9× the $136 Medicare rate). Orange City Area Health System charges insurers about $133, or about $192 in cash — about the fair price. Located in Orange City, IA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $76 - $537 56%
Blue Cross Blue Shieldmajor $42 - $298 31%
HealthPartners $76 - $537 56%
Sanford Health Plan $80 - $567 59%
+ 1 smaller / regional plan $81 - $579
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: 1000 Lincoln Circle Se, Orange City, IA 51041
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals