CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Baptist Memorial Hospital North Ms

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $323
Cash Discount Price: $106
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Baptist Memorial Hospital North Ms is $323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 2.38x the Medicare baseline. Located in 1100 Belk Blvd, Oxford, MS.

Cash / Self-Pay

$106

Average discount available for prompt cash payment at this facility.

Insurance Median

$323

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: $106 (78%)

Insurance Median: $323 (238%)

Cash: $106 (78% of Medicare)

Ins. Median: $323 (238% 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 238% of the Medicare baseline (a markup of 138%). 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	$79 - $755	58%
Magnolia Ms	$90 - $257	66%
Ums Athletic Dept	$114 - $325	84%
Advanced Health Systems Inc.	$122	90%
Blue Cross Blue Shield	$122	90%
Ppo Holdings	$154 - $442	114%
UnitedHealthcare	$160 - $1,708	118%
Magnolia Regional Health Center	$162 - $465	119%
Littler	$203 - $581	150%
Molina	$203 - $581	150%
Mpcn	$211 - $604	156%
Cigna	$223 - $639	164%
Primewell	$244 - $697	180%
Humana	$268 - $767	198%
First Choice Health Plan Of Ms	$284 - $813	209%
Multiplan	$304 - $872	224%
Novasys	$304 - $872	224%
Christian Health Aid	$325 - $930	240%
Ppo Plus	$345 - $988	254%
Qca	$365 - $1,046	269%

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 $106.
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 Baptist Memorial Hospital North Ms 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.