CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Baptist Medical Center Attala
Billing Code: 99214 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99214
- Insurance Median: $223
- Cash Discount Price: $178
- vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Baptist Medical Center Attala is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.64x the Medicare baseline. Located in 220 Hwy 12 West, Kosciusko, MS.
Cash / Self-Pay
$178
Average discount available for prompt cash payment at this facility.
Insurance Median
$223
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: $178 (131%)
Insurance Median: $223 (164%)
Cash: $178 (131% of Medicare)
Ins. Median: $223 (164% 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 |
|---|---|---|
| Tricare | $106 - $189 | 78% |
| Molina | $112 - $368 | 83% |
| Ms Breast And Cervical | $112 - $199 | 83% |
| Triwest | $112 - $199 | 83% |
| Vaccn | $112 - $199 | 83% |
| Devoted Health | $114 - $203 | 84% |
| Blue Cross Blue Shield | $115 - $205 | 85% |
| Aetna | $117 - $494 | 86% |
| American Health Plan | $117 - $209 | 86% |
| Cigna | $117 - $209 | 86% |
| Humana | $117 - $511 | 86% |
| Magnolia Ms | $117 - $209 | 86% |
| Primewell | $117 - $209 | 86% |
| Shared Health | $117 - $209 | 86% |
| Wellcare | $117 - $209 | 86% |
| Ppo Holdings | $121 - $216 | 89% |
| Advanced Health Systems Inc. | $122 | 90% |
| Magnolia Regional Health Center | $128 - $227 | 94% |
| Littler | $160 - $284 | 118% |
| UnitedHealthcare | $185 | 136% |
| Burch Food Services | $190 - $338 | 140% |
| First State Bank Trust | $190 - $338 | 140% |
| Armstrong Relocation | $201 - $358 | 148% |
| Ashley Furniture Stores | $201 - $358 | 148% |
| Brimhall Foods | $201 - $358 | 148% |
| Building Plastic | $201 - $358 | 148% |
| Cannon Motor Company | $201 - $358 | 148% |
| Carlisle | $201 - $358 | 148% |
| Crittenden County | $201 - $358 | 148% |
| Davidson Hospitality | $201 - $358 | 148% |
| Delta Industries | $201 - $358 | 148% |
| Desoto Co Board Of Supervisors | $201 - $358 | 148% |
| Dunn Investment Company | $201 - $358 | 148% |
| First Choice Health Plan Of Ms | $201 - $358 | 148% |
| First Community Bank | $201 - $358 | 148% |
| French Camp Academy | $201 - $358 | 148% |
| Gossett Motor Cars | $201 - $358 | 148% |
| Hattiesburg Clinic | $201 - $358 | 148% |
| Heartland Catfish Company | $201 - $358 | 148% |
| Heavy Machines | $201 - $358 | 148% |
| Hospitality Management Advisors | $201 - $358 | 148% |
| Jas D Collier | $201 - $358 | 148% |
| Malco Theaters | $201 - $358 | 148% |
| Mechanical Systems | $201 - $358 | 148% |
| Mid-South Transport | $201 - $358 | 148% |
| Minact | $201 - $358 | 148% |
| Patterson Warehouses | $201 - $358 | 148% |
| Radians | $201 - $358 | 148% |
| Rei Nation | $201 - $358 | 148% |
| Retzer Resources | $201 - $358 | 148% |
| Ritchey Automotive | $201 - $358 | 148% |
| Security One | $201 - $358 | 148% |
| Silver Tree | $201 - $358 | 148% |
| State Systems | $201 - $358 | 148% |
| United Tn Holdings | $201 - $358 | 148% |
| Vaughn Electric | $201 - $358 | 148% |
| W G Yates | $201 - $358 | 148% |
| W W Wood Products | $201 - $358 | 148% |
| Watkins Uiberall | $201 - $358 | 148% |
| Y K Auto Group | $201 - $358 | 148% |
| Employers Health Network | $223 - $398 | 164% |
| Harding Academy | $223 - $398 | 164% |
| Multiplan | $223 - $398 | 164% |
| Ppo Plus | $223 - $398 | 164% |
| Ms Dept Of Rehab Services | $319 - $568 | 235% |