Office visit, established patient (30-39 min)
Facility: Logan County Hospital
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $136
- Cash Discount Price: $90
- vs. Medicare Baseline: 1.00x 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 | 28% |
| Medicaid / KanCare | $72 - $450 | 53% |
| UnitedHealthcare | $81 | 60% |
| Humana | $191 | 141% |
| Health Partners - All Plans | $428 | 316% |
Consumer Guidance & Cost Commentary
For this office visit at Logan County Hospital in Oakley, Kansas, the negotiated rates for CPT code 99214 range from $38 to $450 depending on your specific insurance plan, with the lowest allowed amount being $38 from Blue Cross Blue Shield and Medicaid/KanCare. The facility's cash price of $90.00 is notably lower than the median negotiated rate of $136.00, which serves as a useful benchmark for patients with high-deductible plans who may find paying out-of-pocket more economical than relying on insurance coverage that could exceed this amount. While the facility is a Critical Access Hospital owned by the local government, patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts can result in higher out-of-pocket costs than the cash price.
To ensure you are not overcharged, it is advisable to request a full itemized bill before paying, as summary invoices often obscure individual line items that could be disputed. If you receive a balance bill for the difference between the provider's chargemaster rate and your insurance allowed amount, you may have protections under the No Surprises Act, particularly if you received care at an in-network facility. Additionally, since the facility offers prompt-pay discounts for upfront payment, you can often reduce your final bill by 20% to 50% by paying directly to the hospital rather than waiting for insurance reimbursement, which can take weeks to process and may result in higher administrative fees.