CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Memorial Satilla Health

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99213
Insurance Median: $228
Cash Discount Price: $737
vs. Medicare Baseline: 2.40x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Memorial Satilla Health is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $737. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 2.40x the Medicare baseline. Located in 1900 Tebeau Street, Waycross, GA.

Cash / Self-Pay

$737

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)

Cash / Self-Pay: $737 (774%)

Insurance Median: $228 (240%)

Cash: $737 (774% of Medicare)

Ins. Median: $228 (240% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 240% of the Medicare baseline (a markup of 140%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ambetter / Centene	$83 - $109	87%
Aetna	$109 - $528	115%
Amerigroup	$128	134%
Nhc Advantage	$138 - $182	145%
Pruitt Health	$138 - $182	145%
Friday Health	$144	151%
Peach State	$191	201%
Wellcare	$191	201%
Centurion	$200 - $265	210%
United	$217 - $431	228%
Cigna	$228 - $766	240%
Value Option	$362 - $479	380%
Multiplan	$487 - $644	512%
Novanet	$652 - $862	685%
United Behavioral Health	$724 - $957	761%

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 $737.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99213.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Satilla Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99213.
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.