CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Indiana University Health Bloomington Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$193
about 1.4× the $136 Medicare rate · typically $127–$242
modeled estimate · not a bill or quote
What this hospital charges insurers
$174
About the fair price
about $19 under the fair price · 1.3× Medicare
Medicare pays $136 Fair price $193 This hospital $174 Cash price $232 Hospital's list price $943

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 $174

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 $193 (about 1.4× the $136 Medicare rate). Indiana University Health Bloomington Hospital charges insurers about $174, or about $232 in cash — about the fair price. Located in Bloomington, IN.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $114 - $1,355 84%
Blue Cross Blue Shieldmajor $36 - $189 27%
Aetnamajor $111 - $180 82%
Cignamajor $111 - $1,930 82%
CareSource $159 - $189 117%
Health Net $119 - $1,889 88%
+ 9 smaller / regional plans $71 - $1,930
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: 601 W Second St, Bloomington, IN 47403
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals