CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Baptist Memorial Hospital Jonesboro, Inc.

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $221
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Baptist Memorial Hospital Jonesboro, Inc. is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.63x the Medicare baseline. Located in 4800 East Johnson Avenue, Jonesboro, AR.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $97 (72%)
Insurance Median: $221 (163%)
Cash: $97 (72% of Medicare)
Ins. Median: $221 (163% 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.

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
Novasys $41 - $98 30%
Home State Health Plan $62 - $149 46%
Humana $62 - $446 46%
Aetna $75 - $357 55%
Ppo Holdings $95 - $226 70%
Magnolia Regional Health Center $100 - $238 74%
Blue Cross Blue Shield $108 - $357 80%
Multiplan $108 - $416 80%
Cigna $119 - $284 88%
Littler $125 - $298 92%
Ppo Plus $125 - $476 92%
Access Health Services $150 - $357 111%
Primewell $150 - $357 111%
UnitedHealthcare $158 - $719 117%
First Choice Health Plan Of Ms $175 - $416 129%
Municipal Health Benefit Fund $175 - $416 129%
Mpcn $188 - $446 139%
Healthlink $200 - $476 147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4800 East Johnson Avenue, Jonesboro, AR 72405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals