CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Yuma District Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $232
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Yuma District Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.71x the Medicare baseline. Located in 1000 W 8Th Ave, Yuma, CO.
Cash / Self-Pay
$203

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $203 (150%)
Insurance Median: $232 (171%)
Cash: $203 (150% of Medicare)
Ins. Median: $232 (171% 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
Cigna $83 61%
Aetna $198 - $248 146%
Blue Cross Blue Shield $198 - $232 146%
Corvel___Plan_ $202 149%
Friday_Health_Plan___Plan_ $230 170%
Medicare (plans) $230 170%
Rocky_Mountain_Health_Plan___Plan_ $230 170%
Triwest___Plan_ $230 170%
Medrisk_Preferred___Plan_ $243 179%
Three_Rivers___Plan_ $243 179%
Cofinity_Preferred___Plan_ $256 189%
Uc_Health_Plan___Plan_ $256 189%
Humana $262 193%
Midlands_Choice___Plan_ $262 193%
Multiplan_Open_Access___Plan_ $262 193%
Multiplan_Ppo___Plan_ $262 193%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 W 8Th Ave, Yuma, CO 80759
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals