CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Luke's East Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$122

about 0.9× the $136 Medicare rate · typically $76–$164

modeled estimate · not a bill or quote

What this hospital charges insurers

$66

Below the fair price — a good deal

about $56 under the fair price · 0.5× Medicare

Medicare pays $136 Fair price $122 This hospital $66 Cash price $179 Hospital's list price $298

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Lowest price of the 9 MO hospitals we have prices for — a strong deal.

Cheapest $66 Priciest $84

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

A fair price for a Office visit, established patient (30-39 min) is about $122 (about 0.9× the $136 Medicare rate). Saint Luke's East Hospital charges insurers about $66, or about $179 in cash — below the fair price — a good deal. Located in Lees Summit, MO.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$44 - $95	32%
Blue Cross Blue Shieldmajor	$134 - $190	99%
Aetnamajor	$163 - $283	120%
Cignamajor	$109 - $209	80%
+ 2 smaller / regional plans	$104 - $298

Government programs also on file: Medicaid.

Excludes 1 rental-network / third-party entry (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 179), 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 Saint Luke's East Hospital 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 Saint Luke's East Hospital

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

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