CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Claire Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.7× the $136 Medicare rate · typically $73–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
About the fair price
about $10 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $97 This hospital $107 Cash price $143 Hospital's list price $190

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 $107

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 $97 (about 0.7× the $136 Medicare rate). St Claire Regional Medical Center charges insurers about $107, or about $143 in cash — about the fair price. Located in Morehead, KY.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $82 - $286 60%
Aetnamajor $62 - $300 46%
Humanamajor $82 - $278 60%
CareSource $82 - $115 60%
HealthLink $87 - $275 64%
WellCare $36 - $337 27%
+ 2 smaller / regional plans $65 - $516
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 222 Medical Circle, Morehead, KY 40351
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals