CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sgmc Health

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.7× the $136 Medicare rate · typically $78–$120
modeled estimate · not a bill or quote
What this hospital charges insurers
$92
About the fair price
about $1 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $91 This hospital $92 Cash price $452 Hospital's list price $603

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 $92

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $91 (about 0.7× the $136 Medicare rate). Sgmc Health charges insurers about $92, or about $452 in cash — about the fair price. Located in Valdosta, GA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
WellCare $84 62%
+ 3 smaller / regional plans $67 - $109

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2501 North Patterson Street, Po Box 1727, Valdosta, GA 31602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals