CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Shriners Hospital for Children

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$118
about 0.9× the $136 Medicare rate · typically $85–$205
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
Below the fair price — a good deal
about $33 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $118 This hospital $85 Cash price $285 Hospital's list price $285

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

One of the lower prices — 6 of 8 other WA hospitals charge more for the same procedure.

Cheapest $50 Priciest $102

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $118 (about 0.9× the $136 Medicare rate). Shriners Hospital for Children charges insurers about $85, or about $285 in cash — below the fair price — a good deal. Located in Spokane, WA.

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

✓ Kaiser Permanente UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana

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
Kaiser Permanentemajor $4,200 3097%
+ 3 smaller / regional plans $76 - $119

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 911 West 5Th Avenue, Spokane, WA 99204
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens