CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Parkland Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $532
Cash Discount Price: $863
vs. Medicare Baseline: 3.92x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Parkland Medical Center is $532. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $863. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 3.92x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$863

Average discount available for prompt cash payment at this facility.

Insurance Median

$532

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: $863 (636%)

Insurance Median: $532 (392%)

Cash: $863 (636% of Medicare)

Ins. Median: $532 (392% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 392% of the Medicare baseline (a markup of 292%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Amerihealth Caritas	$25 - $29	18%
Well Sense Health Plan	$60 - $70	44%
United	$167 - $564	123%
Maine Community Health	$249 - $492	184%
Tufts Health Plan	$455 - $548	336%
Aetna	$473 - $621	349%
Mvp Health Plan	$557 - $650	411%
Corvel	$573 - $669	423%
Evernorth	$637 - $743	470%
Healthcare Value Mgmt	$668 - $781	493%
First Health	$676 - $790	499%
Oxford Health Plans	$756 - $883	558%
United Behavioral Health	$796 - $929	587%

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 $863.
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 Parkland Medical Center 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.