CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Bluffton Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$155
about 1.1× the $136 Medicare rate · typically $92–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Below the fair price — a good deal
about $106 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $155 This hospital $49 Cash price $68 Hospital's list price $188

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

One of the lower prices — 7 of 8 other IN hospitals charge more for the same procedure.

Cheapest $47 Priciest $92

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 $155 (about 1.1× the $136 Medicare rate). Bluffton Regional Medical Center charges insurers about $49, or about $68 in cash — below the fair price — a good deal. Located in Bluffton, 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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $71 - $102 52%
Aetnamajor $40 - $97 29%
Cignamajor $48 - $77 35%
Health Net $125 - $195 92%
+ 15 smaller / regional plans $36 - $195
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: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals