CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sgmc Berrien Campus

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.0× the $136 Medicare rate · typically $76–$217
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
Below the fair price — a good deal
about $32 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $132 This hospital $100 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 $100

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 $132 (about 1.0× the $136 Medicare rate). Sgmc Berrien Campus charges insurers about $100, or about $452 in cash — below the fair price — a good deal. Located in Nashville, 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%
+ 2 smaller / regional plans $100 - $126

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: 1221 E McPherson Avenue, Nashville, GA 31639
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals