CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Carolina East Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.7× the $136 Medicare rate · typically $72–$169
modeled estimate · not a bill or quote
What this hospital charges insurers
$82
Below the fair price — a good deal
about $12 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $94 This hospital $82 Cash price $158 Hospital's list price $264

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

One of the lower prices — 6 of 8 other NC hospitals charge more for the same procedure.

Cheapest $61 Priciest $93

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 $94 (about 0.7× the $136 Medicare rate). Carolina East Medical Center charges insurers about $82, or about $158 in cash — below the fair price — a good deal. Located in New Bern, NC.

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 $92 - $189 68%
Blue Cross Blue Shieldmajor $182 - $186 134%
Aetnamajor $232 - $236 171%
Cignamajor $238 - $242 176%
Humanamajor $82 60%
+ 5 smaller / regional plans $70 - $240
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals