CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: The Women's Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$104

about 0.8× the $136 Medicare rate · typically $81–$118

modeled estimate · not a bill or quote

What this hospital charges insurers

$104

About the fair price

0.8× Medicare

Medicare pays $136 Fair price $104 This hospital $104 Cash price $87 Hospital's list price $248

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 $104

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 $104 (about 0.8× the $136 Medicare rate). The Women's Hospital charges insurers about $104, or about $87 in cash — about the fair price. Located in Newburgh, IN.

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	$62 - $119	46%
Blue Cross Blue Shieldmajor	$66 - $132	49%
Aetnamajor	$62 - $146	46%
Cignamajor	$146	108%
Humanamajor	$62 - $89	46%
Ambetter (Centene)	$103	76%
CareSource	$89 - $119	66%
HealthLink	$146	108%
Meridian	$66 - $89	49%
Molina	$62 - $89	46%
WellCare	$62 - $89	46%
+ 17 smaller / regional plans	$87 - $149

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 87), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm The Women's Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

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Other Procedures at The Women's Hospital

Compare: Office visit, established patient (30-39 min) at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.