CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Stephens Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$152
about 1.1× the $136 Medicare rate · typically $75–$289
modeled estimate · not a bill or quote
What this hospital charges insurers
$141
About the fair price
about $11 under the fair price · 1.0× Medicare
Medicare pays $136 Fair price $152 This hospital $141 Cash price $217 Hospital's list price $310

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 $141

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 $152 (about 1.1× the $136 Medicare rate). Stephens Memorial Hospital charges insurers about $141, or about $217 in cash — about the fair price. Located in Breckenridge, 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 $48 - $259 35%
Blue Cross Blue Shieldmajor $162 - $277 119%
Aetnamajor $48 - $277 35%
Cignamajor $137 - $246 101%
Humanamajor $73 - $125 54%
+ 1 smaller / regional plan $248
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 200 South Geneva Street, Breckenridge, TX 76424
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals