CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Centerpoint Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $758
Cash Discount Price: $1,737
vs. Medicare Baseline: 5.59x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Centerpoint Medical Center is $758. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,737. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 5.59x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$1,737

Average discount available for prompt cash payment at this facility.

Insurance Median

$758

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: $1,737 (1281%)

Insurance Median: $758 (559%)

Cash: $1,737 (1281% of Medicare)

Ins. Median: $758 (559% 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 559% of the Medicare baseline (a markup of 459%). 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
Humana	$164 - $203	121%
Blue Cross Blue Shield	$218 - $539	161%
Nhc Advantage	$319 - $465	235%
Healthyblue	$336 - $490	248%
Aetna	$370 - $1,249	273%
Coventry	$370 - $985	273%
United	$422 - $1,102	311%
Universal Healthcare	$588 - $857	434%
Coventry Kc Mo	$689 - $1,004	508%
College Park Family Care Center	$722 - $1,053	532%
Oha Network	$840 - $1,225	619%
Multiplan	$890 - $1,960	656%
Corvel Corporation	$1,092 - $1,592	805%
Cigna	$1,344 - $1,960	991%
Global Sports Services	$1,344 - $1,960	991%
Cco, Inc.	$1,428 - $2,082	1053%
Focus Healthcare Mgmt, Inc	$1,512 - $2,205	1115%

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 $1,737.
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 Centerpoint Medical Center 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.