CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Glenn Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $229
Cash Discount Price: $193
vs. Medicare Baseline: 1.69x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Glenn Medical Center is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.69x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$193

Average discount available for prompt cash payment at this facility.

Insurance Median

$229

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: $193 (142%)

Insurance Median: $229 (169%)

Cash: $193 (142% of Medicare)

Ins. Median: $229 (169% 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
Medi-Cal	$54	40%
Ca Health And Wellness - All Plans	$60	44%
UnitedHealthcare	$72 - $322	53%
Blue Cross Blue Shield	$196 - $362	145%
Blue Shield Exch	$196 - $326	145%
Cigna	$205 - $342	151%
First Health - All Plans	$205 - $342	151%
Healthnet - All Plans	$205 - $342	151%
Beech Street - All Plans	$217 - $362	160%
Blue Shield Ppo/Hmo - All Other Plans	$217 - $362	160%
Dept Of Corrections - All Plans	$217 - $362	160%
Galaxy Health Network - All Plans	$217 - $362	160%
Interplan - All Plans	$217 - $362	160%
Pacific Health Alliance - All Plans	$217 - $362	160%
Pponext - All Plans	$217 - $362	160%
Superior Ca Ppo - All Plans	$217 - $362	160%
Integrated Hp - All Plans	$225 - $374	166%
Health Mgmt Network - All Plans	$229 - $382	169%
Networks By Design - All Plans	$229 - $382	169%
Three Rivers - All Plans	$229 - $382	169%
Humana	$268	198%

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 $193.
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 Glenn 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.