CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mon Health Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.6× the $136 Medicare rate · typically $63–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $1 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $85 This hospital $84 Cash price $127 Hospital's list price $254

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $63 Priciest $84

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

A fair price for a Office visit, established patient (30-39 min) is about $85 (about 0.6× the $136 Medicare rate). Mon Health Medical Center charges insurers about $84, or about $127 in cash — about the fair price. Located in Morgantown, WV.

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 $84 - $457 62%
Blue Cross Blue Shieldmajor $82 - $454 60%
Aetnamajor $84 - $406 62%
Cignamajor $156 - $457 115%
Humanamajor $117 - $457 86%
GEHA $82 - $493 60%
Paramount $84 62%
UPMC Health Plan $105 - $493 77%
+ 13 smaller / regional plans $54 - $483
Government programs also on file: Medicare.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1200 Jd Anderson Drive, Morgantown, WV 26505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals