CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Joseph Health System, LLC

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$150
about 1.1× the $136 Medicare rate · typically $87–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $2 over the fair price · 1.1× Medicare
Medicare pays $136 Fair price $150 This hospital $152 Cash price $61 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $47 Priciest $152

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

A fair price for a Office visit, established patient (30-39 min) is about $150 (about 1.1× the $136 Medicare rate). St Joseph Health System, LLC charges insurers about $152, or about $61 in cash — about the fair price. Located in Fort Wayne, IN.

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✓ Cigna UnitedHealthcareHumanaKaiser 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 $55 - $59 41%
Aetnamajor $70 - $110 52%
Cignamajor $49 - $162 36%
Medical Mutual $152 - $162 112%
+ 11 smaller / regional plans $36 - $162
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals