CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Abrom Kaplan Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 0.7× the $136 Medicare rate · typically $65–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $3 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $95 This hospital $92 Cash price $68 Hospital's list price $151

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $25 Priciest $92

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

A fair price for a Office visit, established patient (30-39 min) is about $95 (about 0.7× the $136 Medicare rate). Abrom Kaplan Memorial Hospital charges insurers about $92, or about $68 in cash — about the fair price. Located in Kaplan, LA.

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 $57 - $395 42%
Blue Cross Blue Shieldmajor $41 - $315 30%
Aetnamajor $57 - $395 42%
Cignamajor $99 - $126 73%
Humanamajor $57 - $395 42%
AmeriHealth $57 - $395 42%
WellCare $68 - $139 50%
+ 6 smaller / regional plans $53 - $395
Government programs also on file: Medicare, Military & VA.
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: 1310 West Seventh Street, Kaplan, LA 70548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals