CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 0.8× the $136 Medicare rate · typically $84–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$119
About the fair price
about $5 over the fair price · 0.9× Medicare
Medicare pays $136 Fair price $114 This hospital $119 Cash price $201 Hospital's list price $401

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $119

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $114 (about 0.8× the $136 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $119, or about $201 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $91 - $128 67%
Blue Cross Blue Shieldmajor $91 - $350 67%
Aetnamajor $91 - $404 67%
Cignamajor $139 - $386 103%
Humanamajor $91 - $403 67%
Kaiser Permanentemajor $153 - $315 113%
Ambetter (Centene) $123 - $299 91%
Clover Health $93 - $121 69%
+ 9 smaller / regional plans $91 - $545
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals