CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Neshoba County General Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $113
  • Cash Discount Price: $132
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Neshoba County General Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $132. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.83x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$132

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $132 (97%)
Insurance Median: $113 (83%)
Cash: $132 (97% of Medicare)
Ins. Median: $113 (83% 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 Mcaid $67 - $106 49%
Molina Mcaid $67 - $106 49%
Mpcn Mcaid $67 - $106 49%
Tricare $73 54%
Aetna $75 - $113 55%
Humana $81 60%
Magnolia Mcr Adv-All Other Plans $81 60%
Molina Comm-All Other Plans $81 60%
Molina Mcr Adv $81 60%
UnitedHealthcare $81 - $106 60%
Wellcare Mcr Adv-All Plans $81 60%
Cigna $98 - $147 72%
First Choice Comm Ip/Op Only - All Plans $101 74%
Ahs Ip/Op Only-All Plans $112 - $170 83%
Blue Cross Blue Shield $120 - $181 88%
Affordable Health Care-All Plans $128 - $192 94%
Health Choice Ip/Op Only-All Plans $128 - $192 94%
Health Link Ip/Op Only-All Plans $128 - $192 94%
Geha-All Plans $135 - $204 100%
Multiplan-All Plans $135 - $204 100%
Mpcn Ip/Op Only-All Other Plans $188 - $283 139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL