CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Prosser Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.7× the $136 Medicare rate · typically $55–$154
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
About the fair price
about $10 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $101 This hospital $111 Cash price $199 Hospital's list price $362

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $50 Priciest $111

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

A fair price for a Office visit, established patient (30-39 min) is about $101 (about 0.7× the $136 Medicare rate). Prosser Memorial Hospital charges insurers about $111, or about $199 in cash — about the fair price. Located in Prosser, WA.

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 $44 - $313 32%
Blue Cross Blue Shieldmajor $111 - $345 82%
Aetnamajor $84 - $341 62%
Cignamajor $92 - $314 68%
Humanamajor $70 - $326 52%
Kaiser Permanentemajor $44 - $434 32%
Ambetter (Centene) $195 - $564 144%
Amerigroup $46 - $460 34%
Molina $46 - $155 34%
WellCare $70 - $313 52%
+ 6 smaller / regional plans $44 - $345
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals