CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Greater Baltimore Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$114

about 0.8× the $136 Medicare rate · typically $84–$146

modeled estimate · not a bill or quote

What this hospital charges insurers

$136

Above the fair price

about $22 over the fair price · 1.0× Medicare

Medicare pays $136 Fair price $114 This hospital $136 Cash price $265 Hospital's list price $265

How we calculate the fair BaseRate →

How this hospital compares to other MD hospitals

One of the lower prices — 2 of 3 other MD hospitals charge more for the same procedure.

Cheapest $77 Priciest $176

Black dot = this hospital, among the 4 MD hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $114 (about 0.8× the $136 Medicare rate). Greater Baltimore Medical Center charges insurers about $136, or about $265 in cash — above the fair price. Located in Baltimore, MD.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $114. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$101 - $139	74%
Blue Cross Blue Shieldmajor	$69 - $169	51%
Aetnamajor	$72 - $139	53%
Cignamajor	$101 - $152	74%
Humanamajor	$101 - $136	74%
Kaiser Permanentemajor	$138 - $191	102%
UniCare	$101 - $136	74%
+ 8 smaller / regional plans	$101 - $182

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (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 265), 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 Greater Baltimore Medical Center 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 Greater Baltimore Medical Center

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

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