CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: St Anthony Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$118
about 0.9× the $136 Medicare rate · typically $66–$211
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $118 Cash price $205 Hospital's list price $301
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✓ Cigna HumanaKaiser 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 | $286 | 211% |
| Blue Cross Blue Shieldmajor | $241 | 178% |
| Aetnamajor | $286 | 211% |
| Cignamajor | $163 - $169 | 120% |
| Health Net | $271 | 200% |
| Moda Health | $98 - $205 | 72% |
| PacificSource | $286 | 211% |
| + 2 smaller / regional plans | $256 - $286 |
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Other Procedures at St Anthony Hospital
Compare: Office visit, established patient (30-39 min) at other OR hospitals
- Willamette Valley Medical Center · McMinnville $51
- McKenzie-Willamette Medical Center · Springfield $74
- Santiam Hospital & Clinics · Stayton $83
- Wallowa Memorial Hospital · Enterprise $96
- Shriners Hospital for Children - Portland · Portland $109
- St Charles Medical Center - Bend · Bend $124
- Adventist Health Portland · Portland $127
- Mid-Columbia Medical Center · The Dalles $141
Insurance negotiated median for the same procedure, sorted lowest first.