Office visit, established patient (30-39 min)
Facility: Cheyenne County Hospital
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $114
- Cash Discount Price: $136
- vs. Medicare Baseline: 0.84x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $38 - $94 | 28% |
| Firstguard - All Plans | $64 - $126 | 47% |
| First Health - All Plans | $67 - $110 | 49% |
| UnitedHealthcare | $69 - $289 | 51% |
| Tricare | $69 - $289 | 51% |
| Healthy Blue Mcr Adv | $69 - $289 | 51% |
| Aetna | $69 - $289 | 51% |
| Choice Care - All Plans | $70 - $289 | 52% |
| Wppa - All Plans | $86 - $141 | 63% |
| Preferred Hc - All Plans | $91 - $149 | 67% |
| Cpm - All Plans | $91 - $149 | 67% |
| Midlands Choice - All Plans | $93 - $152 | 69% |
| Providers Care-All Plans | $94 - $236 | 69% |
| Unicare - All Plans | $94 - $154 | 69% |
| Integrated Hp - All Plans | $94 - $154 | 69% |
| Ppo Next - All Plans | $94 - $154 | 69% |
| Health Partners - All Plans | $94 - $154 | 69% |
| Childrens Mercy - All Plans | $96 - $157 | 71% |
| Healthwave Mcaid - All Plans | $96 - $157 | 71% |
| Healthy Blue Mcaid - All Other Plans | $96 - $157 | 71% |
Consumer Guidance & Cost Commentary
For this office visit with an established patient lasting 30 to 39 minutes, the facility's cash price is $136.00, which is higher than the reported median paid amount of $114.00. While the gross charge listed is $118.00, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures; for instance, UnitedHealthcare and Tricare have negotiated ranges extending up to $289.00. If you have a high-deductible plan, paying the cash price of $136.00 upfront might be more cost-effective than relying on insurance, which could result in a higher allowed amount after your deductible is met.
To minimize unexpected costs, we strongly recommend requesting a prompt-pay discount before scheduling your appointment, as hospitals frequently offer 20% to 50% reductions for upfront payment. Additionally, if you are billed by an out-of-network provider at this facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services at in-network locations. If you do receive a balance bill, do not pay it immediately; instead, dispute the charge in writing with the insurer and request a formal audit to ensure compliance with federal protections.