CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Washington County Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$88
about 0.6× the $136 Medicare rate · typically $74–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$88
About the fair price
0.6× Medicare
Medicare pays $136 Fair price $88 This hospital $88 Cash price $245 Hospital's list price $306

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $65 Priciest $88

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

A fair price for a Office visit, established patient (30-39 min) is about $88 (about 0.6× the $136 Medicare rate). Washington County Hospital charges insurers about $88, or about $245 in cash — about the fair price. Located in Nashville, IL.

What each insurance company pays

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

5 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 $88 - $394 65%
Blue Cross Blue Shieldmajor $66 - $338 49%
Aetnamajor $66 - $437 49%
Cignamajor $123 - $411 91%
Humanamajor $88 - $253 65%
Ambetter (Centene) $88 - $253 65%
HealthLink $77 - $479 57%
Medica $88 - $349 65%
Meridian $66 - $253 49%
Molina $66 - $253 49%
WellCare $88 - $253 65%
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: 705 S Grand Ave, Nashville, IL 62263
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals