CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $134
Cash Discount Price: $111
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Oklahoma Heart Hospital South, LLC is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.99x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $111 (82%)

Insurance Median: $134 (99%)

Cash: $111 (82% of Medicare)

Ins. Median: $134 (99% 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
Blue Cross Blue Shield	$51 - $128	38%
Cigna	$51 - $128	38%
Medicare (plans)	$51 - $132	38%
Va Ccn	$51 - $128	38%
Ambetter / Centene	$72 - $179	53%
Healthcare Highways	$79 - $190	58%
Community Care	$102 - $256	75%
Aetna	$110 - $219	81%
Humana	$110 - $219	81%
The Kempton Group	$128 - $320	94%
UnitedHealthcare	$128 - $136	94%
Geha	$136	100%
Healthscope	$146	108%
Oscar Insurance Company	$146	108%
Webtpa Chickasaw Nation Hch	$149	110%
Webtpa Hobby Lobby Hch	$168	124%
Coventry	$187	138%
Global Health	$200	147%
Sana Benefits	$206	152%
Ufcw	$206	152%
First Health Network	$219	162%
Manhattan Life	$219	162%
Phcs	$222	164%
Preferred Community Choice	$241	178%
Multiplan	$285	210%

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 $111.
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 Oklahoma Heart Hospital South, LLC 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.