CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Saint Mary's Regional Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$111
about 0.8× the $136 Medicare rate · typically $52–$209
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
Below the fair price — a good deal
about $38 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $111 This hospital $73 Hospital's list price $390

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 3 charge more and 3 charge less, among the 9 NV hospitals compared.

Cheapest $37 Priciest $111

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

A fair price for a Office visit, established patient (30-39 min) is about $111 (about 0.8× the $136 Medicare rate). Saint Mary's Regional Medical Center charges insurers about $73 — below the fair price — a good deal. Located in Reno, NV.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $73 54%
Molina $74 55%
+ 4 smaller / regional plans $25 - $87
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals