CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lakeland Hospital, St Joseph

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$156
about 1.1× the $136 Medicare rate · typically $110–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $136 Fair price $156 This hospital $161

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $45 Priciest $161

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

A fair price for a Office visit, established patient (30-39 min) is about $156 (about 1.1× the $136 Medicare rate). Lakeland Hospital, St Joseph charges insurers about $161 — about the fair price. Located in St Joseph, MI.

What each insurance company pays

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

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Priority Health $161 119%

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Facility Profile & Credentials

  • Address: 1234 Napier Avenue, St Joseph, MI 49085
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals