CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Pender Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$186
about 1.4× the $136 Medicare rate · typically $146–$270
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
Below the fair price — a good deal
about $37 under the fair price · 1.1× Medicare
Medicare pays $136 Fair price $186 This hospital $149 Cash price $158 Hospital's list price $352

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 $149

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 $186 (about 1.4× the $136 Medicare rate). Pender Memorial Hospital charges insurers about $149, or about $158 in cash — below the fair price — a good deal. Located in Burgaw, 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 $147 - $367 108%
Blue Cross Blue Shieldmajor $54 - $362 40%
Aetnamajor $56 - $428 41%
Cignamajor $56 - $222 41%
Humanamajor $52 - $433 38%
Ambetter (Centene) $76 - $190 56%
AmeriHealth $58 - $144 43%
CareSource $80 - $201 59%
WellCare $58 - $144 43%
+ 7 smaller / regional plans $54 - $488
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals