CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Fairview Park Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $388
Cash Discount Price: $1,149
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Fairview Park Hospital is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,149. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 2.86x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$1,149

Average discount available for prompt cash payment at this facility.

Insurance Median

$388

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: $1,149 (847%)

Insurance Median: $388 (286%)

Cash: $1,149 (847% of Medicare)

Ins. Median: $388 (286% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 286% of the Medicare baseline (a markup of 186%). 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
Amerigroup	$143 - $165	105%
Ambetter / Centene	$156 - $179	115%
Aetna	$160 - $677	118%
Friday Health	$160 - $184	118%
Nhc Advantage	$203 - $233	150%
Pruitt Health	$203 - $233	150%
Peach State	$214 - $246	158%
Wellcare	$214 - $246	158%
Memorial Health Plan	$235 - $553	173%
United	$264 - $553	195%
Cigna	$291 - $446	215%
Centurion	$296 - $340	218%
Leavitt Risk Partners	$321 - $368	237%
Dodge County Hospital	$535 - $614	395%
American Steel Products	$910 - $1,044	671%
City Of Eastman	$910 - $1,044	671%
Dodge Co Board Of Commissioners	$910 - $1,044	671%
Graham Brothers Construction	$910 - $1,044	671%
Multiplan	$963 - $1,105	710%
Novanet	$963 - $1,105	710%

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 $1,149.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fairview Park Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99214.
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.