CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ochsner Watkins Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $164
Cash Discount Price: $200
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Ochsner Watkins Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.21x the Medicare baseline. Located in 605 South Archusa Avenue, Quitman, MS.

Cash / Self-Pay

$200

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $200 (147%)

Insurance Median: $164 (121%)

Cash: $200 (147% of Medicare)

Ins. Median: $164 (121% 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.

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	$73 - $246	54%
Medicaid / KanCare	$80 - $173	59%
Cigna	$89 - $246	66%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$89 - $246	66%
Medicare (plans)	$89 - $283	66%
UnitedHealthcare	$89 - $246	66%
Aetna	$93 - $194	69%
Shared Health Mississippi	$93 - $182	69%
Prime Health Services Ppo	$102 - $239	75%
Claritev D/B/A Multiplan/Phcs/American Life Care	$104 - $224	77%
Ambetter / Centene	$124 - $175	91%
Blue Cross Blue Shield	$126 - $239	93%
Select Administrative Services Network	$130 - $312	96%
Prime Health Services Ppo -Workers Comp	$133	98%
Cor Vel	$134 - $136	99%
Zelis	$135 - $224	100%
Primewell Health Services Commercial Exchange Plan	$141 - $245	104%
Primewell Health Services – Commercial	$141 - $245	104%

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 $200.
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 Ochsner Watkins 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.