CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Memorial Community Hospital & Health System

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$156
about 1.1× the $136 Medicare rate · typically $133–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $7 under the fair price · 1.1× Medicare
Medicare pays $136 Fair price $156 This hospital $149 Cash price $462 Hospital's list price $577

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $75 Priciest $149

Black dot = this hospital, among the 9 NE 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 $156 (about 1.1× the $136 Medicare rate). Memorial Community Hospital & Health System charges insurers about $149, or about $462 in cash — about the fair price. Located in Blair, NE.

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✓ Humana CignaKaiser 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 $55 - $862 41%
Blue Cross Blue Shieldmajor $68 - $871 50%
Aetnamajor $145 - $180 107%
Humanamajor $458 - $816 338%
Medica $149 - $825 110%
+ 2 smaller / regional plans $58 - $426
Government programs also on file: Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 810 North 22Nd St, Blair, NE 68008
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals