CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Okeene Municipal Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $116
Cash Discount Price: $124
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Okeene Municipal Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.86x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $124 (91%)

Insurance Median: $116 (86%)

Cash: $124 (91% of Medicare)

Ins. Median: $116 (86% 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
Pref Community Choice Ppo-All Plans	$23 - $62	17%
Ihs-All Plans	$74 - $268	55%
Blue Cross Blue Shield	$85 - $236	63%
Healthcare Highways-All Plans	$86 - $310	63%
Coventry Mcr Adv	$88 - $236	65%
Global Health Mcr Adv	$88 - $236	65%
Humana	$88 - $414	65%
Medicare (plans)	$88 - $236	65%
UnitedHealthcare	$88 - $294	65%
Cigna	$95 - $253	70%
Ok Complete Health Comm-All Other Plans	$106 - $288	78%
Aetna	$108 - $414	80%
Healthchoice Ip Only-All Plans	$108 - $290	80%
Medica Commercial-All Other Plans	$110 - $319	81%
Ok Complete Health Mcaid	$110 - $414	81%
Global Health-All Other Plans	$115 - $307	85%
Phcs Savility/Multiplan - All Plans	$116 - $310	86%
Community Care Hmo-All Plans	$140 - $373	103%

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 $124.
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 Okeene Municipal Hospital 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.