CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Comanche County Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $118
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Comanche County Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.87x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $149 (110%)
Insurance Median: $118 (87%)
Cash: $149 (110% of Medicare)
Ins. Median: $118 (87% 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.

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
Choicecare Comm - All Other Plans $51 - $118 38%
Choicecare Mcr Adv $51 - $118 38%
Humana $51 - $223 38%
Molina Mcr Adv - All Other Plans $51 - $118 38%
Pphp Mcr Adv - All Plans $51 - $118 38%
Superior Epo/Hmo - All Plans $51 - $118 38%
Swhp Mcr Adv $51 - $118 38%
Wellmed Mcr Adv - All Plans $51 - $118 38%
Alliance Wc - All Plans $77 - $177 57%
Aetna $87 - $201 64%
Molina Mcaid $87 - $201 64%
Swhp Mcaid $87 - $201 64%
Cigna $90 - $207 66%
Occunet - All Plans $104 - $239 77%
Swhp Comm - All Other Plans $110 - $255 81%
First Care Hmo - All Other Plans $117 - $271 86%
First Care Hmo Self Funded $117 - $271 86%
Mpi - All Plans $124 - $287 91%
Blue Cross Blue Shield $210 - $221 155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals