CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Indiana University Health Tipton Hospital Inc

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$157

about 1.2× the $136 Medicare rate · typically $88–$261

modeled estimate · not a bill or quote

What this hospital charges insurers

$174

About the fair price

about $17 over the fair price · 1.3× Medicare

Medicare pays $136 Fair price $157 This hospital $174 Cash price $355 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 $157 (about 1.2× the $136 Medicare rate). Indiana University Health Tipton Hospital Inc charges insurers about $174, or about $355 in cash — about the fair price. Located in Tipton, 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	$142 - $1,690	105%
Blue Cross Blue Shieldmajor	$69 - $189	51%
Aetnamajor	$99 - $151	73%
Cignamajor	$75 - $1,786	55%
CareSource	$159 - $189	117%
Health Net	$121 - $1,848	89%
+ 9 smaller / regional plans	$71 - $1,889

Excludes 1 rental-network / third-party entry (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 355), 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 Indiana University Health Tipton Hospital Inc 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 (%)

Enter your details and press estimate to compare.

Other Procedures at Indiana University Health Tipton Hospital Inc

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

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