CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $112
Cash Discount Price: $150
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at University Hospitals Conneaut Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $150. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.83x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.

Cash / Self-Pay

$150

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $150 (111%)

Insurance Median: $112 (83%)

Cash: $150 (111% of Medicare)

Ins. Median: $112 (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.

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
Cigna	$27 - $112	20%
Aultcare	$31	23%
Jp Farley	$42	31%
Aetna	$49 - $110	36%
Blue Cross Blue Shield	$62 - $200	46%
Devoted	$62	46%
Humana	$62	46%
Medical Mutual Of Ohio	$62 - $189	46%
Molina	$62	46%
Primetime Health Plan	$62	46%
Summacare	$62 - $102	46%
The Health Plan	$62 - $132	46%
UnitedHealthcare	$62 - $170	46%
Wellcare By Allwell	$62	46%
Paramount	$64	47%
Perennial Advantage Of Ohio	$65	48%
Valor Health Plans	$65	48%
Amish Aid Community Plan	$92	68%
Amish Church Fund And Workers Aid Plan	$92	68%
Buckeye Plain Ministries	$92	68%
Clarity	$96	71%
Christian Healthcare Ministries	$100	74%
Immergrun	$100	74%
Sunrise Plan Communities	$100	74%
Ambetter / Centene	$112	83%
Caresource	$112	83%
Healthsmart	$130	96%
Ohio Health Choice	$130 - $180	96%
Medical Mutual Traditional/Health Ohio	$140	103%
Beech Street	$160 - $180	118%
Ohio Preferred Network	$160 - $180	118%
First Health	$166	122%
Century Health Network	$170	125%
Private Healthcare System	$172	127%
Configurenet	$180	133%
Fortified Provider Network	$180	133%
Multiplan	$180	133%

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 $150.
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 University Hospitals Conneaut 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.