CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $98
Cash Discount Price: $141
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Cameron Memorial Community Hospital Inc is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.72x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $141 (104%)

Insurance Median: $98 (72%)

Cash: $141 (104% of Medicare)

Ins. Median: $98 (72% 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
Buckeye Health	$49	36%
Molina Healthcare Of Oh	$49	36%
Humana	$57 - $89	42%
UnitedHealthcare	$71 - $118	52%
Aetna	$89	66%
Cigna	$89	66%
Corvel	$89	66%
Encore	$89	66%
Phcs	$89	66%
Plain Church Group Ministry	$89	66%
Sagamore Health Network	$89	66%
Php	$93	69%
Three Rivers Preferred	$95 - $9,500	70%
Lutheran Preferred	$97	72%
Caresource Indiana Of In	$98 - $119	72%
Frontpath	$101	74%
Signature Care	$103	76%
Blue Cross Blue Shield	$106	78%
Coventry	$107	79%
Managed Health Services	$119	88%
Mdwise	$119	88%
Lucent	$125	92%
Centivo	$138	102%

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 $141.
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 Cameron Memorial Community Hospital Inc 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.