CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Central Carolina Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 0.8× the $136 Medicare rate · typically $80–$286
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
Below the fair price — a good deal
about $11 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $104 This hospital $93 Cash price $400 Hospital's list price $1,000

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $61 Priciest $93

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $104 (about 0.8× the $136 Medicare rate). Central Carolina Hospital charges insurers about $93, or about $400 in cash — below the fair price — a good deal. Located in Sanford, NC.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $93 69%
Blue Cross Blue Shieldmajor $92 68%
AmeriHealth $93 69%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1135 Carthage St, Sanford, NC 27330
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals