CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: St Marys Rehabilitation Hospital
Billing Code: 99214 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$110
about 0.8× the $136 Medicare rate · typically $72–$244
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $110 Cash price $767 Hospital's list price $767
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $767 | 566% |
| Aetnamajor | $767 | 566% |
| Cignamajor | $767 | 566% |
| Humanamajor | $767 | 566% |
| Ambetter (Centene) | $767 | 566% |
| + 11 smaller / regional plans | $767 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Office visit, established patient (30-39 min) at other PA hospitals
- Penn State Health St. Joseph · Reading $25
- St Mary Medical Center · Langhorne $54
- Surgical Institute of Reading · Wyomissing $54
- UPMC Altoona · Altoona $57
- Lower Bucks Hospital · Bristol $58
- Roxborough Memorial Hospital · Philadelphia $58
- UPMC Wellsboro · Wellsboro $61
- St Clair Hospital · Pittsburgh $63
Insurance negotiated median for the same procedure, sorted lowest first.