Office visit, established patient (30-39 min)
Facility: Boulder Community Health
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $173
- Cash Discount Price: $424
- vs. Medicare Baseline: 1.28x 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 |
|---|---|---|
| Cigna | $48 - $1,782 | 35% |
| Aetna | $73 - $1,939 | 54% |
| Medicare (plans) | $73 - $846 | 54% |
| Select Health Colorado Public Option | $73 - $846 | 54% |
| Select Health Value Network | $73 - $846 | 54% |
| Devoted Health | $77 - $891 | 57% |
| Rocky Mountain Health Maintenance Organization Private Plan | $81 - $1,559 | 60% |
| Rocky Mountain Health Maintenance Organization | $84 - $132 | 62% |
| UnitedHealthcare | $95 - $154 | 70% |
| Humana | $96 - $128 | 71% |
| Colorado Community Health Alliance (Ccha) | $105 | 77% |
| Medicaid / KanCare | $108 - $132 | 80% |
| Blue Cross Blue Shield | $111 - $1,326 | 82% |
| Colorado Access | $119 - $172 | 88% |
| Health Spring | $128 | 94% |
| Clear Spring | $132 | 97% |
| Multiplan | $133 - $1,559 | 98% |
| Phcs | $133 - $1,559 | 98% |
| Integrated Health Plans Bch | $144 - $1,670 | 106% |
| Beech Street Community Medical Associates | $148 | 109% |
| Casualty Management Network, Prime Health Services Behavioral Health | $163 - $1,893 | 120% |
| Mines And Associates | $163 - $1,893 | 120% |
| Three Rivers Provider Network | $163 - $1,893 | 120% |
| Zelis (Profee) | $163 - $1,893 | 120% |
| Casualty Management Network, Prime Health Services Community Medical Associates | $173 - $2,004 | 128% |
| National Preferred Provider Network | $173 - $2,004 | 128% |
| Rockport Healthcare Group Community Medical Associates | $173 - $2,004 | 128% |
| Usa | $173 - $2,004 | 128% |
| Rockport Healthcare Group Bch | $179 - $2,071 | 132% |
| Health Payors Organization | $182 - $2,116 | 134% |
| Health Management Network Bch Community Medical Associates | $184 - $2,138 | 136% |
| Health Management Network Community Medical Associates | $184 - $2,138 | 136% |
| National Provider Network | $186 - $2,160 | 137% |
| Kaiser Ppo | $197 - $5,858 | 145% |
| Kaiser Public Option | $197 - $4,905 | 145% |
| Kaiser | $300 - $5,830 | 221% |
| Beech Street Behavioral Health | $762 | 562% |