CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ochsner Laird Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $177
  • Cash Discount Price: $182
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Ochsner Laird Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.31x the Medicare baseline. Located in 25117 Highway 15, Union, MS.
Cash / Self-Pay
$182

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $182 (134%)
Insurance Median: $177 (131%)
Cash: $182 (134% of Medicare)
Ins. Median: $177 (131% 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
Humana $73 - $196 54%
Medicaid / KanCare $80 - $215 59%
Cigna $89 - $196 66%
Magnolia Health Plan - Wellcare By All Well Of Mississippi $89 - $196 66%
Medicare (plans) $89 - $225 66%
UnitedHealthcare $89 - $196 66%
Blue Cross Blue Shield $91 - $209 67%
Aetna $93 - $194 69%
Shared Health Mississippi $93 - $206 69%
Prime Health Services Ppo $102 - $239 75%
Claritev D/B/A Multiplan/Phcs/American Life Care $104 - $224 77%
Ambetter / Centene $124 - $190 91%
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 $141 - $251 104%
Primewell Health Services Commercial Exchange Plan $141 - $251 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25117 Highway 15, Union, MS 39365
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals