Office visit, established patient (30-39 min)
Facility: West Carroll Memorial Hospital
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $77
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.57x 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 |
|---|---|---|
| Lockard And Williams | $15 | 11% |
| Lockard And Williams Insurance Services Inc. Dba A 90 Degree B | $15 | 11% |
| Medicaid / KanCare | $22 - $59 | 16% |
| Healthy Blue | $24 | 18% |
| Gulf Guaranty Health | $25 | 18% |
| UnitedHealthcare | $40 - $275 | 29% |
| United World Life Insurance Company | $45 | 33% |
| Community Care Health Plan Of La | $51 | 38% |
| International Benefits Administrators | $51 | 38% |
| New Era Life Insurance Company | $51 | 38% |
| Atlantic Coast Life Insurance Company | $55 | 41% |
| Bankers Fidelity Life Insurance Co. | $55 | 41% |
| Bankers Life And Casualty Company | $55 | 41% |
| Calpers | $55 | 41% |
| Cno (Key Bank) | $55 | 41% |
| United Of Omaha Life Insurance Company | $55 | 41% |
| Amerihealth Caritas Louisiana | $57 | 42% |
| Omaha Insurance Company | $58 | 43% |
| Aetna | $63 - $77 | 46% |
| Mutual Of Omaha Companies Claims Department | $64 | 47% |
| Physicians Mutual Insurance Company | $65 | 48% |
| Liberty Bankers Life Insurance Company | $66 | 49% |
| Christian Care Medi-Share | $70 | 52% |
| Woodmenlife Claims Department | $76 | 56% |
| Pan-American Life Insurance Company | $83 | 61% |
| Golden Rule Insurance Company | $96 | 71% |
| Gravie Administrative Services Llc | $106 | 78% |
| Cigna | $112 | 83% |
| Self Insured Services Company | $112 | 83% |
| Washington National Insurance Company | $118 | 87% |
| Blue Cross Blue Shield | $124 | 91% |
| Fep | $124 | 91% |
| Fep Postal | $124 | 91% |
| Hmo Of Louisiana | $124 | 91% |
| Tokio Marine Hcc - Supplemental Health | $138 | 102% |
| Illumifin | $162 | 119% |
| Humana | $187 | 138% |
| Administrative Concepts Inc | $234 | 173% |
| Ameriben Solutions | $234 | 173% |
| Insurance Systems Inc | $234 | 173% |
| Tricare | $258 | 190% |
| Blue Advantage | $259 | 191% |
| Medicare (plans) | $259 | 191% |
| Novitas Solutions | $275 | 203% |