CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Lukes Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$109
about 0.8× the $136 Medicare rate · typically $91–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $3 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $109 This hospital $112 Cash price $202 Hospital's list price $372

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $82 Priciest $112

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

A fair price for a Office visit, established patient (30-39 min) is about $109 (about 0.8× the $136 Medicare rate). St Lukes Hospital charges insurers about $112, or about $202 in cash — about the fair price. Located in Duluth, MN.

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 $77 - $254 57%
Blue Cross Blue Shieldmajor $72 - $395 53%
Aetnamajor $89 66%
Cignamajor $210 155%
Humanamajor $95 70%
HealthPartners $91 - $242 67%
Medica $89 - $328 66%
Security Health Plan $86 - $328 63%
UCare $75 - $94 55%
+ 1 smaller / regional plan $86
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 915 East 1St Street, Duluth, MN 55805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals