CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Joseph London

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$137
about 1.0× the $136 Medicare rate · typically $97–$230
modeled estimate · not a bill or quote
What this hospital charges insurers
$140
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $137 This hospital $140 Cash price $104 Hospital's list price $292

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $66 Priciest $140

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 $137 (about 1.0× the $136 Medicare rate). Saint Joseph London charges insurers about $140, or about $104 in cash — about the fair price. Located in London, 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 $63 - $204 46%
Blue Cross Blue Shieldmajor $64 - $158 47%
Aetnamajor $61 45%
Humanamajor $61 - $210 45%
Molina $42 31%
WellCare $49 36%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1001 Saint Joseph Lane, London, KY 40741
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals