CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Wakemed, Raleigh Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$139
about 1.0× the $136 Medicare rate · typically $108–$156
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
About the fair price
about $3 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $139 This hospital $142 Cash price $114 Hospital's list price $300

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 $142

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

A fair price for a Office visit, established patient (30-39 min) is about $139 (about 1.0× the $136 Medicare rate). Wakemed, Raleigh Campus charges insurers about $142, or about $114 in cash — about the fair price. Located in Raleigh, NC.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $70 - $149 52%
Aetnamajor $135 - $204 100%
Cignamajor $88 - $153 65%
Ambetter (Centene) $109 - $180 80%
AmeriHealth $54 40%
WellCare $54 40%
+ 1 smaller / regional plan $54
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3000 New Bern Ave, Raleigh, NC 27610
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals