CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Virginia Mason Medical Center
Billing Code: 99214 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$189
about 1.4× the $136 Medicare rate · typically $114–$299
modeled estimate · not a bill or quote
Medicare pays $136 Fair price $189 Cash price $72 Hospital's list price $142
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $100 - $102 | 74% |
| Blue Cross Blue Shieldmajor | $85 - $315 | 63% |
| Aetnamajor | $89 - $1,529 | 66% |
| Cignamajor | $105 - $247 | 77% |
| Humanamajor | $102 | 75% |
| Kaiser Permanentemajor | $86 - $368 | 63% |
| + 3 smaller / regional plans | $91 - $1,754 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Virginia Mason Medical Center
Compare: Office visit, established patient (30-39 min) at other WA hospitals
- Mary Bridge Children's Hospital · Tacoma $50
- Arbor Health Morton Hospital · Morton $67
- Shriners Hospital for Children · Spokane $85
- Lake Chelan Community Hospital · Chelan $88
- Newport Community Hospital · Newport $97
- Forks Community Hospital · Forks $99
- Deaconess Medical Center · Spokane $100
- Multicare Valley Hospital · Spokane Valley $100
Insurance negotiated median for the same procedure, sorted lowest first.