CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Atrium Health Navicent Peach

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$99
about 0.7× the $136 Medicare rate · typically $80–$110
modeled estimate · not a bill or quote
What this hospital charges insurers
$110
About the fair price
about $11 over the fair price · 0.8× Medicare
Medicare pays $136 Fair price $99 This hospital $110

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 $110

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

A fair price for a Office visit, established patient (30-39 min) is about $99 (about 0.7× the $136 Medicare rate). Atrium Health Navicent Peach charges insurers about $110 — about the fair price. Located in Byron, GA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor $105 - $128 77%
Blue Cross Blue Shieldmajor $105 77%
Aetnamajor $105 - $120 77%
Cignamajor $139 103%
Humanamajor $105 - $134 77%
Ambetter (Centene) $119 88%
Clover Health $107 79%
+ 6 smaller / regional plans $105 - $155

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1960 Highway 247 Connector, Byron, GA 31008
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals