CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Chelsea Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$113
about 0.8× the $136 Medicare rate · typically $60–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$134
Above the fair price
about $21 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $113 This hospital $134 Hospital's list price $263

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 $134

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 $113 (about 0.8× the $136 Medicare rate). Chelsea Hospital charges insurers about $134 — above the fair price. Located in Chelsea, MI.

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 $113. 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.

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 $82 - $140 60%
Blue Cross Blue Shieldmajor $82 - $134 60%
Aetnamajor $87 - $190 64%
Cignamajor $82 - $197 60%
Humanamajor $82 - $160 60%
Ambetter (Centene) $82 60%
AmeriHealth $160 118%
Clover Health $134 99%
Dean Health Plan $184 136%
GEHA $140 103%
Health Net $82 - $190 60%
HealthPartners $82 - $228 60%
MagnaCare $160 118%
Medical Mutual $160 118%
Meridian $82 - $134 60%
Molina $82 - $184 60%
MVP Health Care $184 136%
Oscar Health $124 91%
Paramount $82 60%
Presbyterian $82 - $134 60%
Priority Health $161 119%
Tufts Health Plan $82 - $228 60%
UniCare $160 118%
WellMed $134 99%
WellSense $82 60%
+ 421 smaller / regional plans $82 - $228
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals