CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ouachita County Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $108
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Ouachita County Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.80x the Medicare baseline. Located in 638 California Avenue, Camden, AR.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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%)

Insurance Median: $108 (80%)

Ins. Median: $108 (80% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$80 - $150	59%
Blue Cross Blue Shield	$80 - $180	59%
Champva	$80 - $126	59%
Cigna	$80 - $131	59%
Humana	$80 - $126	59%
Medicare (plans)	$80 - $126	59%
Medipak Advantage	$80 - $126	59%
Qualchoice Advantage	$80 - $126	59%
Tricare	$80 - $126	59%
UnitedHealthcare	$80 - $126	59%
Va Med Center	$80 - $126	59%
Wellcare Ahc	$80 - $126	59%
Windsor Sterling	$80 - $126	59%
Ambetter / Centene	$86 - $89	63%
Arkansas Firstsource	$89 - $180	66%
Arkansas Totalcare	$89	66%
Blue Advantage	$89 - $180	66%
Blue Card	$89 - $180	66%
Health Advantage	$89 - $180	66%
Medicaid / KanCare	$89	66%
Self Pay	$100	74%
Municipal Health Benefit	$120	88%
Amco	$200	147%
Mutual Of Omaha	$200	147%
Qualchoice Exchange	$200	147%
Qualchoice Of Arkansas	$200	147%
Usable Life Group Health	$200	147%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ouachita County Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99214.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.