CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Winnmed

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$106
about 0.8× the $136 Medicare rate · typically $82–$232
modeled estimate · not a bill or quote
What this hospital charges insurers
$90
Below the fair price — a good deal
about $16 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $106 This hospital $90 Cash price $132 Hospital's list price $188

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 $90

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 $106 (about 0.8× the $136 Medicare rate). Winnmed charges insurers about $90, or about $132 in cash — below the fair price — a good deal. Located in Decorah, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $31 - $84 23%
Blue Cross Blue Shieldmajor $135 - $161 100%
Aetnamajor $49 - $90 36%
HealthPartners $49 - $93 36%
Medica $49 - $88 36%
+ 1 smaller / regional plan $51 - $267

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 901 Montgomery Street, Decorah, IA 52101
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals