Office visit, established patient (30-39 min)
Facility: John Muir Medical Center - Concord Campus
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $188
- Cash Discount Price: $384
- vs. Medicare Baseline: 1.39x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Contra Costa County Jail [1012104] | $38 | 28% |
| Hospice Of East Bay [1085104] | $94 | 69% |
| Generic Commercial/Indemnity [1017001] | $118 - $341 | 87% |
| Generic Hmo [1018103] | $118 | 87% |
| Generic Ppo [1021104] | $118 | 87% |
| Tricare | $179 | 132% |
| Health Net-Network Mcare [1028127] | $184 | 136% |
| Aetna | $188 | 139% |
| Alignment Health [1177113] | $188 | 139% |
| Blue Cross Blue Shield | $188 - $764 | 139% |
| Blue Shield-Network Mcare [1006127] | $188 | 139% |
| Care 1St Health Plan [1094113] | $188 | 139% |
| Caremore [1171113] | $188 | 139% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] | $188 | 139% |
| Easy Choice Health Plan [1083113] | $188 | 139% |
| Essence Healthcare [1049028] | $188 | 139% |
| Essence Healthcare [1049128] | $188 | 139% |
| Golden State-Network Mcare [1023127] | $188 | 139% |
| Humana | $188 - $708 | 139% |
| Medicare (plans) | $188 - $682 | 139% |
| Scan-Network Mcare [1043127] | $188 | 139% |
| UnitedHealthcare | $188 - $981 | 139% |
| Veterans Administration [1051113] | $188 | 139% |
| Carecentrix [1011001] | $341 | 251% |
| Canopy Hn Hmo [1166103] | $344 | 254% |
| Aps Healthcare [1003103] | $384 | 283% |
| Cigna | $433 | 319% |
| Carelon Behavioral Health [1050104] | $469 | 346% |
| Fortified Provider Network [1063104] | $469 | 346% |
| Medigap [1036001] | $469 | 346% |
| Three Rivers Provider Network [1073104] | $469 | 346% |
| Contra Costa Health Plan Hmo [1013103] | $512 | 378% |
| Health Net Ppo [1028104] | $620 | 457% |
| Kaiser Hmo [1033103] | $631 | 465% |
| Federal Correction Institute [1062104] | $682 | 503% |
| First Health [1016104] | $682 - $725 | 503% |
| Healthsmart - Pka Interplan [1031104] | $682 | 503% |
| Networks By Design [1084104] | $682 | 503% |
| Pponext [1072104] | $682 | 503% |
| Sutter Preferred Health Plan [1044104] | $682 | 503% |
| Western Health Advantage Hmo [1053103] | $682 | 503% |
| Health Management Network [1066104] | $725 | 535% |
| Healthcomp [1089104] | $725 | 535% |
| Galaxy Health Network [1064104] | $768 | 566% |
| Integrated Health Plan [1075104] | $768 | 566% |
| Jmpn Canopy Hn [1640000011] | $981 | 723% |
| Donor Network West [1008103] | $4,000 | 2950% |