CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Falls Community Hospital and Clinic

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$122
about 0.9× the $136 Medicare rate · typically $88–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$96
Below the fair price — a good deal
about $26 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $122 This hospital $96 Cash price $210 Hospital's list price $263

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $48 Priciest $96

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

A fair price for a Office visit, established patient (30-39 min) is about $122 (about 0.9× the $136 Medicare rate). Falls Community Hospital and Clinic charges insurers about $96, or about $210 in cash — below the fair price — a good deal. Located in Marlin, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $96 - $218 71%
Blue Cross Blue Shieldmajor $360 265%
Aetnamajor $190 - $249 140%
Cignamajor $48 - $62 35%
Humanamajor $96 71%
Baylor Scott & White $96 71%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 322 Coleman Street, Marlin, TX 76661
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital