CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: St Luke's Hospital - Monroe Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.6× the $136 Medicare rate · typically $65–$125
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $19 under the fair price · 0.5× Medicare
Medicare pays $136 Fair price $84 This hospital $65 Cash price $444 Hospital's list price $535

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 $65

Black dot = this hospital, among the 9 PA 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 $84 (about 0.6× the $136 Medicare rate). St Luke's Hospital - Monroe Campus charges insurers about $65, or about $444 in cash — below the fair price — a good deal. Located in Stroudsburg, PA.

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 $155 114%
Blue Cross Blue Shieldmajor $65 - $397 48%
Aetnamajor $112 - $187 83%
Cignamajor $146 108%
AmeriHealth $65 48%
Geisinger $64 - $150 47%
Oscar Health $139 103%
UPMC Health Plan $65 - $147 48%
+ 1 smaller / regional plan $78

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 100 St Luke's Lane, Stroudsburg, PA 18360
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals