Office visit, established patient (30-39 min)
Facility: Kiowa District Hospital
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $197
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.45x 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 - $80 | 28% |
| UnitedHealthcare | $72 - $275 | 53% |
| Medicaid / KanCare | $72 - $261 | 53% |
| Humana | $81 - $275 | 60% |
| Triwest-All Plans | $81 - $275 | 60% |
| Tricare | $81 - $275 | 60% |
| Healthchoice-All Plans | $97 - $161 | 72% |
| Health Partners Of Ks-All Plans | $176 - $185 | 130% |
| Gbs Insurance - All Plans | $188 - $197 | 139% |
| Multiplan-All Plans | $188 - $197 | 139% |
| Medicare (plans) | $200 - $265 | 147% |
| Aetna | $200 - $275 | 147% |
| Providers Care (Wppa)-All Plans | $300 - $315 | 221% |
| Liberty Healthshare-All Plans | $339 - $467 | 250% |
Consumer Guidance & Cost Commentary
For CPT code 99214, representing an office visit with an established patient lasting 30 to 39 minutes, the facility in Kiowa, KS, has a cash median price of $164.00 and a median negotiated rate of $197.00. While the gross charge listed is $205.00, patients should note that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurance negotiated rate exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network rates can vary significantly between providers. Additionally, you may be eligible for a prompt-pay discount if you choose to settle the bill in full upfront, which can reduce the total amount owed.
This service is provided at Kiowa District Hospital, a Critical Access Hospital in the state of Kansas. The facility's pricing data reflects a specific vintage of 2026-06 and includes a comparison metric against Medicare, which serves as a baseline for fair pricing. While the report does not provide explicit county or state average figures for this specific code, the facility's ownership is designated as a Government Hospital District or Authority. Consumers are advised to request an itemized bill to ensure all charges are accurate and to avoid balance billing, which is largely prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. Always confirm your out-of-network status and request a waiver of insurance submission if you intend to pay cash directly to avoid unexpected billing complications.