CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $240
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Southeast Georgia Health System -- Camden Campus is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.77x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$240

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%)
Insurance Median: $240 (177%)
Ins. Median: $240 (177% 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.

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_Community_Care $63 46%
Caresource_Georgia_Families $63 46%
Peachstate_Health_Plan $63 46%
Blue Cross Blue Shield $92 - $284 68%
Caresource $92 - $138 68%
Humana $92 - $355 68%
UnitedHealthcare $92 68%
United_Healthcare_Veterans_Administration $92 68%
Aetna $94 - $340 69%
Clover_Health $94 69%
Devoted_Health $96 71%
Pruitthealth $97 72%
Ambetter / Centene $147 108%
Sea_Island $284 209%
Sghs_Meritain $284 209%
Coventryone_Hix $304 224%
United_Healthcare $308 227%
Medishare $340 251%
Choicecare $355 262%
Cigna $355 262%
Industry_Buying_Group_Ibg $355 262%
First_Health_Southcare $359 265%
One_Health_Great_West $359 265%
Pponext $379 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Dan Proctor Drive, Saint Marys, GA 31558
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals