CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ira Davenport Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$112
about 0.8× the $136 Medicare rate · typically $110–$183
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $112 Cash price $151 Hospital's list price $180

How we calculate the fair BaseRate →

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 $113 - $359 83%
Blue Cross Blue Shieldmajor $66 - $1,037 49%
Aetnamajor $113 - $305 83%
Cignamajor $94 - $213 69%
Humanamajor $91 - $308 67%
AmeriHealth $92 68%
Fidelis Care $66 - $188 49%
Geisinger $88 - $199 65%
Independent Health $98 - $222 72%
MVP Health Care $94 - $213 69%
UPMC Health Plan $104 - $236 77%
+ 6 smaller / regional plans $66 - $1,126
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital