CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: University Medical Center
Billing Code: 99214 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99214
- Insurance Median: $160
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at University Medical Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.18x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$180
Average discount available for prompt cash payment at this facility.
Insurance Median
$160
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$135.6
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $180 (133%)
Insurance Median: $160 (118%)
Cash: $180 (133% of Medicare)
Ins. Median: $160 (118% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $135.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Beech Street | $41 - $320 | 30% |
| Aig | $41 - $320 | 30% |
| Cement Masons & Plasters H&W | $41 - $269 | 30% |
| Blue Cross Blue Shield | $73 - $160 | 54% |
| Sierra Health and Life | $73 - $385 | 54% |
| Ambetter / Centene | $73 - $353 | 54% |
| Molina | $73 - $353 | 54% |
| Aetna | $84 - $288 | 62% |
| Advantra Freedom | $84 - $160 | 62% |
| Las Vegas Metro Police Dept | $93 - $269 | 69% |
| Wynn Resorts | $93 - $269 | 69% |
| Allwell | $93 - $124 | 69% |
| Venetian/Palazzo | $93 - $333 | 69% |
| Mirage Las Vegas | $93 - $269 | 69% |
| Marshall Retail Group | $93 - $333 | 69% |
| Golden Entertainment | $93 - $333 | 69% |
| VA Pc3 (VA Choice) | $93 - $577 | 69% |
| UnitedHealthcare | $93 - $271 | 69% |
| Stations Casinos | $93 - $333 | 69% |
| Operating Engineers | $93 - $269 | 69% |
| Arroweye Solutions | $93 - $333 | 69% |
| Las Vegas Sand Corps | $93 - $186 | 69% |
| Pli Las Vegas | $93 - $333 | 69% |
| Teacher's Health Trust | $93 - $333 | 69% |
| City of Henderson | $93 - $269 | 69% |
| Golden Nugget Hotel & Casino | $93 - $333 | 69% |
| Mgm Grand | $93 - $269 | 69% |
| Rebel Oil Company | $93 - $333 | 69% |
| Dignity Health | $93 - $333 | 69% |
| Clark County Self Funded | $93 - $269 | 69% |
| P3 Health Partners Nevada | $93 - $150 | 69% |
| Selecthealth | $93 - $353 | 69% |
| Caesar's Entertainment | $93 - $269 | 69% |
| Truline Corporation | $93 - $333 | 69% |
| Clark County EPO | $93 - $269 | 69% |
| Resorts World Las Vegas | $93 - $269 | 69% |
| City of North Las Vegas | $93 - $270 | 69% |
| P3 Health Partners | $93 - $333 | 69% |
| Healthcare Partners of Nevada | $93 - $160 | 69% |
| State of Nevada | $93 - $333 | 69% |
| Scan | $98 - $200 | 72% |
| Alignment Health | $98 - $192 | 72% |
| Coventry | $103 - $256 | 76% |
| Employee Painters Trust | $103 - $269 | 76% |
| Geha | $103 - $187 | 76% |
| Mail Handlers Benefit Plan | $103 - $256 | 76% |
| Nevada Energy | $103 - $256 | 76% |
| Clark County Firefighters 1908 | $103 - $269 | 76% |
| Health Net | $104 - $545 | 77% |
| Three Rivers Provider Network | $104 - $314 | 77% |
| First Health | $104 - $314 | 77% |
| Ufcw Local 711 Retail Clerks | $110 - $269 | 81% |
| Laborers Health and Welfare | $110 - $269 | 81% |
| So Ca Pipe Trades H&W | $110 - $160 | 81% |
| Southwest Carpenters H&W | $110 - $160 | 81% |
| Teamsters Local 14 | $110 - $269 | 81% |
| California Ironwork Field Welfare | $110 - $160 | 81% |
| Teamsters Local 986 | $110 - $269 | 81% |
| Boyd Group | $110 - $269 | 81% |
| Plumbers & Pipefitters Loc 525 | $110 - $269 | 81% |
| Sheet Metal Workers | $110 - $160 | 81% |
| Bricklayers Local 13 | $110 - $269 | 81% |
| Electrical Workers | $110 - $269 | 81% |
| Teamsters Local 631 | $110 - $269 | 81% |
| Culinary Workers Hwf | $114 - $269 | 84% |
| Laughlin Coalition | $130 - $250 | 96% |
| One Health Plan | $140 - $205 | 103% |
| Jw Marriott | $140 - $385 | 103% |
| Nevada Preferred Professionals | $140 - $385 | 103% |
| Prominence Health Plan | $140 - $385 | 103% |
| Universal Health Network (Uhn) | $140 - $385 | 103% |
| Hometown Health Plan Nevada | $140 - $187 | 103% |
| Great West Healthcare | $152 - $270 | 112% |
| Cirque De Soleil | $152 - $270 | 112% |
| National Security Technologies | $152 - $270 | 112% |
| Kaiser | $152 - $270 | 112% |
| Cigna | $152 - $270 | 112% |
| Health Direct Partners | $154 - $353 | 114% |
| Surest | $177 - $271 | 131% |
| American Postal Workers Health Plan | $177 - $271 | 131% |
| Clark County Detention Center | $183 - $192 | 135% |
| Hometown Health Plan of Nevada | $195 - $205 | 144% |
| Zuffa | $200 - $385 | 147% |
| Switch | $256 - $271 | 189% |
| Nevada Hand | $256 - $269 | 189% |
| Las Vegas Firefighters 1285 | $256 - $271 | 189% |