CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Hurley Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$102

about 0.8× the $136 Medicare rate · typically $74–$117

modeled estimate · not a bill or quote

What this hospital charges insurers

$91

Below the fair price — a good deal

about $11 under the fair price · 0.7× Medicare

Medicare pays $136 Fair price $102 This hospital $91 Cash price $236 Hospital's list price $236

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 $91

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 $102 (about 0.8× the $136 Medicare rate). Hurley Medical Center charges insurers about $91, or about $236 in cash — below the fair price — a good deal. Located in Flint, MI.

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	$52 - $451	38%
Blue Cross Blue Shieldmajor	$52 - $133	38%
Aetnamajor	$52 - $293	38%
Cignamajor	$85 - $177	63%
Humanamajor	$78 - $270	58%
Ambetter (Centene)	$71 - $111	52%
AmeriHealth	$71 - $133	52%
GEHA	$85 - $251	63%
Health Net	$85 - $451	63%
HealthPartners	$136 - $451	100%
Medica	$71 - $133	52%
Meridian	$52 - $133	38%
Molina	$48 - $92	35%
Paramount	$136 - $451	100%
Priority Health	$87 - $177	64%
WellCare	$71 - $133	52%
+ 126 smaller / regional plans	$30 - $451

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 14 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 236), 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 Hurley 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 Hurley Medical Center

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

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