Office visit, established patient (30-39 min)
Facility: Goodland Regional Medical Center
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $129
- Cash Discount Price: $129
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Wppa | $110 - $180 | 81% |
| UnitedHealthcare | $117 - $180 | 86% |
| Blue Cross Blue Shield | $189 | 139% |
Consumer Guidance & Cost Commentary
For CPT code 99214, representing an office visit for an established patient lasting 30 to 39 minutes, Goodland Regional Medical Center in Goodland, KS, lists a gross charge of $143.00. The facility's cash median rate is $129.00, which aligns with the median negotiated rate of $129.00. While the Medicare benchmark for this service is $135.60, indicating the facility's cash price is slightly below the federal baseline, commercial payers negotiate rates ranging from $110 to $189. For patients with high-deductible plans, paying the cash price of $129.00 upfront may be more cost-effective than using insurance, as the negotiated rates for some payers exceed the cash amount. It is advisable to contact the hospital directly to confirm if additional self-pay or prompt-pay discounts are available before scheduling.
This service is provided at a Critical Access Hospital, a facility type often subject to specific federal reimbursement rules that can influence pricing structures. The facility is government-owned locally and serves the Goodland area (ZIP 67735). While the data provided does not include specific comparative averages for the county or state, the Medicare benchmark of $135.60 serves as a scientifically validated baseline for evaluating the facility's pricing markup. Patients should be aware that commercial rates can vary significantly by payer, with Wppa and UnitedHealthcare plans showing a range of $110 to $180, while Blue Cross Blue Shield has a fixed rate of $189. To avoid unexpected costs, consumers should request an itemized bill