Office visit, established patient (30-39 min)
Facility: Kearny County Hospital
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $165
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.22x 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 |
|---|---|---|
| Point C | $147 - $165 | 108% |
| UnitedHealthcare | $150 - $624 | 111% |
| Paradigm | $150 | 111% |
| American Health Plans | $150 | 111% |
| Blue Cross Blue Shield | $150 - $2,003 | 111% |
| Corporate Plan Management | $150 | 111% |
| Merchants Benefit Administrati | $150 | 111% |
| Allied Benefit - Aso | $150 | 111% |
| Benefit Plan Administrators | $150 | 111% |
| Meritain Health | $165 | 122% |
| Cigna | $165 | 122% |
| Pan-American Life Insurance Co | $165 | 122% |
| Rocky Mountain Hospital&Medica | $165 | 122% |
| Insurance Administrator Of Ame | $165 | 122% |
| Luminare Health | $165 | 122% |
| Humana | $165 - $499 | 122% |
| Apricus | $165 | 122% |
| Allied Benefit - Bpo | $165 | 122% |
| Community Care Health Plan Of | $165 - $721 | 122% |
| Kansas Solutions | $200 - $609 | 147% |
| Wps Gha - Mac J5 Part A | $961 - $2,003 | 709% |
Consumer Guidance & Cost Commentary
For this office visit at Kearny County Hospital in Lakin, KS, the facility's negotiated rates range from $147 to $2,003 across 21 different insurance plans, with a median negotiated payment of $158.00. This median rate is 1.2 times the Medicare benchmark of $135.60, reflecting the standard administrative markup inherent in commercial contracts. While the facility is a government-owned Critical Access Hospital, patients should note that cash prices are not listed in this report; however, for those with high-deductible plans, paying cash directly can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price. It is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final amount owed.
When reviewing your bill, be aware that summary invoices often obscure individual charges, making it difficult to spot errors or unbundled services. Since over 80% of hospital bills contain mistakes, requesting a full itemized statement is the most effective way to ensure accuracy and avoid double-billing. Additionally, if you receive a balance bill for services rendered at an in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers. If you encounter unexpected charges, do not pay immediately out of fear of credit damage; instead, request a formal itemized audit and dispute any errors in writing to protect your financial interests.