CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Rhode Island Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$146
about 1.1× the $136 Medicare rate · typically $74–$197
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
About the fair price
about $7 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $146 This hospital $139 Cash price $365 Hospital's list price $365

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $28 Priciest $166

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $146 (about 1.1× the $136 Medicare rate). Rhode Island Hospital charges insurers about $139, or about $365 in cash — about the fair price. Located in Providence, RI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $137 - $199 101%
Tufts Health Plan $87 64%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals