CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Curry General Hospital

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $181
Cash Discount Price: $282
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Curry General Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.33x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

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: $282 (208%)

Insurance Median: $181 (133%)

Cash: $282 (208% of Medicare)

Ins. Median: $181 (133% 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
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$49 - $62	36%
Tricare	$56 - $119	41%
Blue Cross Blue Shield	$92 - $383	68%
Medicaid / KanCare	$102 - $241	75%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$104 - $166	77%
Medicare (plans)	$104 - $249	77%
Department Of Corrections [1051]	$118 - $249	87%
Coordinated Care Commercial [1649]	$154 - $326	114%
Pacificsource [1148]	$154 - $326	114%
Moda [512]	$155 - $345	114%
Multiplan [1131]	$165 - $349	122%
Asuris [1258]	$172 - $364	127%
Operating Engineers [1144]	$172 - $364	127%
Regence [1351]	$172 - $383	127%
Cigna	$177 - $383	131%
Coventry First Health Managed Care [1774]	$177 - $375	131%
Coventry Health [1046]	$177 - $375	131%
Providence Health Plan Plm Alt [1692]	$177 - $375	131%
Providence Health Plan [567]	$177 - $375	131%
Aetna	$181 - $383	133%
Employee Bene Admin Mgmt [525]	$181 - $383	133%
Geha [531]	$181 - $383	133%
Mailhandlers Benefit Pln [547]	$181 - $383	133%
Meritain [550]	$181 - $383	133%
Nw Sheet Metal Workers [597]	$181 - $383	133%
Trustmark [524]	$181 - $383	133%
UnitedHealthcare	$181 - $383	133%
Zenith Administrators [586]	$181 - $383	133%
First Choice Health Admin [1294]	$284	209%
First Choice [528]	$284	209%
Allcare Alt [2598]	$2,000	1475%
Allcare [1695]	$2,000	1475%

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 $282.
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 Curry General 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.