CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Parkland Health & Hospital System

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99214
Insurance Median: $92
Cash Discount Price: $190
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Parkland Health & Hospital System is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.68x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$190

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $190 (140%)

Insurance Median: $92 (68%)

Cash: $190 (140% of Medicare)

Ins. Median: $92 (68% 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	$50 - $268	37%
Cook Children Health Plan [1380]	$56 - $92	41%
Wellpoint [1007]	$56 - $425	41%
Aetna	$59 - $446	44%
Parkland Chip Perinate [1320]	$59 - $92	44%
Parkland Community Health Plan [1056]	$59 - $446	44%
Superior Health Plan [1402]	$59 - $120	44%
Molina [1382]	$62 - $467	46%
Point Comfort Underwriters [1801]	$62 - $96	46%
UnitedHealthcare	$65 - $386	48%
Care Improvement Plus [1104]	$78 - $121	58%
Procare Advantage [2104]	$79 - $123	58%
Delta Dental Insurance Company [1151]	$84	62%
Medicare (plans)	$84 - $93	62%
Triwest Healthcare Alliance [1409]	$84	62%
Wellcare Of Texas [1330]	$84 - $87	62%
Molina Aca [1337]	$141	104%
Cigna	$175 - $347	129%
Superior Healthplan [1383]	$220 - $341	162%
Great West Healthcare [1037]	$223 - $347	164%

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 $190.
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 Health & Hospital System 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.