CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mississippi Baptist Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $131
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Mississippi Baptist Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.97x the Medicare baseline. Located in 1225 N State St, Jackson, MS.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $71 (52%)
Insurance Median: $131 (97%)
Cash: $71 (52% of Medicare)
Ins. Median: $131 (97% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Magnolia Ms $35 - $155 26%
Ppo Holdings $48 - $211 35%
Ppo Plus $49 - $218 36%
Magnolia Regional Health Center $50 - $222 37%
Aetna $52 - $233 38%
Multiplan $54 - $416 40%
Mpcn $56 - $250 41%
Humana $60 - $268 44%
Littler $62 - $278 46%
Medi Share $62 - $278 46%
Molina $62 - $278 46%
First Choice Health Plan Of Ms $66 - $294 49%
Primewell $75 - $333 55%
Cigna $78 - $344 58%
Christian Health Aid $100 - $444 74%
Advanced Health Systems Inc. $122 90%
Blue Cross Blue Shield $122 90%
UnitedHealthcare $216 - $649 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1225 N State St, Jackson, MS 39202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals