CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Memorial Health Meadows Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $121
Cash Discount Price: $436
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Memorial Health Meadows Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $436. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.89x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.

Cash / Self-Pay

$436

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $436 (322%)

Insurance Median: $121 (89%)

Cash: $436 (322% of Medicare)

Ins. Median: $121 (89% 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.

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	$33 - $92	24%
Aetna	$34 - $462	25%
Blue Cross Blue Shield	$37 - $118	27%
Pruitt Health	$43 - $122	32%
Memorial Health Plan	$50 - $290	37%
United	$56 - $290	41%
Centurion	$63 - $178	46%
Amerigroup	$80	59%
Friday Health	$97	72%
Peach State	$129	95%
Multiplan	$205 - $579	151%
Cigna	$233	172%

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 $436.
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 Memorial Health Meadows 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.