CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.7× the $136 Medicare rate · typically $62–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
Above the fair price
about $41 over the fair price · 1.0× Medicare
Medicare pays $136 Fair price $91 This hospital $132 Cash price $193 Hospital's list price $275

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $25 Priciest $132

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

A fair price for a Office visit, established patient (30-39 min) is about $91 (about 0.7× the $136 Medicare rate). Independence Health System Butler Memorial Hospita charges insurers about $132, or about $193 in cash — above the fair price. Located in Butler, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $91. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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 $44 - $51 32%
Aetnamajor $116 - $220 86%
Cignamajor $116 - $138 86%
Devoted Health $93 - $110 69%
Geisinger $233 - $275 172%
UPMC Health Plan $33 - $289 24%
+ 9 smaller / regional plans $65 - $289
Excludes 3 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

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals