CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Cloud County Health Center

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$134

about 1.0× the $136 Medicare rate · typically $76–$246

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $29 under the fair price · 0.8× Medicare

Medicare pays $136 Fair price $134 This hospital $105 Cash price $128 Hospital's list price $182

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $105

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $134 (about 1.0× the $136 Medicare rate). Cloud County Health Center charges insurers about $105, or about $128 in cash — below the fair price — a good deal. Located in Concordia, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Aetnamajor	$95 - $227	70%
HealthPartners	$100 - $232	74%
+ 1 smaller / regional plan	$100 - $232

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 128), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Cloud County Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cloud County Health Center

Compare: Office visit, established patient (30-39 min) at other KS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.