CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercyone Centerville Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$71
about 0.5× the $136 Medicare rate · typically $67–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$67
About the fair price
about $4 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $71 This hospital $67 Hospital's list price $258

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 $67

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 $71 (about 0.5× the $136 Medicare rate). Mercyone Centerville Medical Center charges insurers about $67 — about the fair price. Located in Centerville, 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 $42 - $258 31%
Blue Cross Blue Shieldmajor $42 - $156 31%
Aetnamajor $66 - $272 49%
Cignamajor $42 - $253 31%
Humanamajor $42 - $173 31%
Kaiser Permanentemajor $117 - $156 86%
Ambetter (Centene) $42 - $184 31%
Clover Health $67 - $106 49%
GEHA $143 - $226 105%
Health Net $42 - $272 31%
HealthPartners $42 - $248 31%
Medica $253 187%
Medical Mutual $242 178%
Meridian $42 - $106 31%
Molina $42 - $57 31%
Oscar Health $126 - $199 93%
Paramount $42 - $57 31%
Presbyterian $42 - $106 31%
Sanford Health Plan $115 - $184 85%
Tufts Health Plan $42 - $57 31%
UCare $121 - $200 89%
WellMed $67 - $106 49%
WellSense $42 - $57 31%
+ 362 smaller / regional plans $42 - $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: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals