CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Highlands Arh Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$81
about 0.6× the $136 Medicare rate · typically $72–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $2 over the fair price · 0.6× Medicare
Medicare pays $136 Fair price $81 This hospital $83 Cash price $122 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 0 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $66 Priciest $83

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

A fair price for a Office visit, established patient (30-39 min) is about $81 (about 0.6× the $136 Medicare rate). Highlands Arh Regional Medical Center charges insurers about $83, or about $122 in cash — about the fair price. Located in Prestonsburg, KY.

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✓ Humana CignaKaiser 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 $49 - $83 36%
Blue Cross Blue Shieldmajor $32 - $72 24%
Aetnamajor $32 - $83 24%
Humanamajor $33 24%
Molina $32 24%
WellCare $83 61%
+ 1 smaller / regional plan $65 - $137

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 5000 Kentucky Route 321, Prestonsburg, KY 41653
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals