CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: York Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$172
about 1.3× the $136 Medicare rate · typically $89–$188
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
Below the fair price — a good deal
about $58 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $172 This hospital $114 Cash price $169 Hospital's list price $282

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 7 of 8 other ME hospitals charge more for the same procedure.

Cheapest $93 Priciest $154

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

A fair price for a Office visit, established patient (30-39 min) is about $172 (about 1.3× the $136 Medicare rate). York Hospital charges insurers about $114, or about $169 in cash — below the fair price — a good deal. Located in York, ME.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $110 81%
Aetnamajor $69 - $95 51%
Cignamajor $98 - $115 72%
Harvard Pilgrim $159 - $278 117%
+ 1 smaller / regional plan $150
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15 Hospital Drive, York, ME 03909
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals