CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Christus St Frances Cabrini Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $366
Cash Discount Price: $172
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Christus St Frances Cabrini Hospital is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 2.70x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$172

Average discount available for prompt cash payment at this facility.

Insurance Median

$366

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)

Cash / Self-Pay: $172 (127%)

Insurance Median: $366 (270%)

Cash: $172 (127% of Medicare)

Ins. Median: $366 (270% of 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 270% of the Medicare baseline (a markup of 170%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$29 - $526	21%
Christus Health	$37 - $154	27%
Amerihealth Caritas Louisiana	$57	42%
Healthy Blue Louisiana	$57	42%
Louisiana Healthcare Connections	$57	42%
UnitedHealthcare	$57 - $731	42%
Humana	$58 - $1,386	43%
Blue Cross Blue Shield	$76 - $366	56%
Lsu First Choice Verity	$122 - $366	90%
Vantage Health Plan Inc.	$122 - $366	90%
Cigna	$145 - $439	107%
Arcadian Health Plan	$147 - $439	108%
Gilsbar, Inc.	$147 - $439	108%
Healthcare Highways	$147 - $439	108%
Verity Healthnet	$147 - $439	108%
Healthsmart	$159 - $585	117%
Ppoplus Llc	$159 - $475	117%
Five Point Credit Union	$172 - $512	127%
Multiplan	$172 - $512	127%
Phcs	$172 - $512	127%
Health Management Network	$196 - $585	145%
Provider Select	$196 - $585	145%
First Health	$208 - $621	153%
Triwest	$208 - $621	153%
Verity Healthnet National	$208 - $621	153%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $172.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99214.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christus St Frances Cabrini Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99214.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.