CMS Price Transparency Data
Office visit, established patient (30-39 min)
Facility: Methodist Mansfield Medical Center
Billing Code: 99214 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99214
- Insurance Median: $137
- Cash Discount Price: $321
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Methodist Mansfield Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 1.01x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$321
Average discount available for prompt cash payment at this facility.
Insurance Median
$137
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: $321 (237%)
Insurance Median: $137 (101%)
Cash: $321 (237% of Medicare)
Ins. Median: $137 (101% 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 |
|---|---|---|
| Blue Cross Blue Shield | $26 - $142 | 19% |
| UnitedHealthcare | $46 - $142 | 34% |
| Community Hospice Of Texas [2005] | $84 | 62% |
| Faith Hospice [2008] | $84 | 62% |
| Generic Hospice [2011] | $84 | 62% |
| Heart To Heart Hospice [2012] | $84 | 62% |
| Homebound Cardinal Hospice [4019] | $84 | 62% |
| Hospice Plus [2013] | $84 | 62% |
| Kindful Health Hospice [4016] | $84 | 62% |
| Lions Hospice [2015] | $84 | 62% |
| New Century Hospice [2003] | $84 | 62% |
| Odyssey Hospice [2018] | $84 | 62% |
| Silverado Hospice [4017] | $84 | 62% |
| Vista Care Hospice [2023] | $84 | 62% |
| Vitas Hospice [2024] | $84 | 62% |
| Vna Hospice [2025] | $84 | 62% |
| Medicare (plans) | $90 - $142 | 66% |
| Alternative Service Concepts [8005] | $105 | 77% |
| Oscar Insurance Company [2057] | $110 | 81% |
| Bright Healthcare [2222] | $118 | 87% |
| Molina [3017] | $122 | 90% |
| Wellpoint Marketplace Exchange [3071] | $131 | 97% |
| Aetna | $134 - $137 | 99% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | $134 | 99% |
| Ust Health Proof [1005] | $134 | 99% |
| Wellcare [7016] | $134 | 99% |
| 90 Degree Benefit [3057] | $139 | 103% |
| Allied National [2031] | $139 | 103% |
| Entrust/90 Degree [2058] | $139 | 103% |
| American Health Advantage Of Texas [7099] | $141 | 104% |
| Cigna | $141 - $156 | 104% |
| Globalhealth [1003] | $141 | 104% |
| Procare Advantage [7018] | $141 | 104% |
| Humana | $142 | 105% |
| Southwestern Health Resources Swhr [7015] | $142 | 105% |
| Friday Health Plan [2061] | $143 | 105% |
| Ambetter / Centene | $144 | 106% |
| Provider Partners Health Plan [7025] | $145 | 107% |
| Imperial Insurance Companies [3073] | $152 | 112% |
| Web Tpa [3049] | $156 | 115% |
| Department Of Labor [8004] | $169 | 125% |
| Evry Health [1013] | $169 | 125% |
| Generic Workers Comp Tx Non Par [9010] | $169 | 125% |
| Generic Workers Comp Tx Par [8002] | $169 | 125% |
| Generic Workers Comp Tx Par [9011] | $169 | 125% |
| Sana Benefits [3069] | $169 | 125% |
| Tristar Risk Management [8006] | $169 | 125% |
| Velocity [3070] | $169 | 125% |
| Medicaid / KanCare | $170 - $207 | 125% |
| Health Plans Inc [5017] | $211 | 156% |
| Medical Cost Containment Professionals [3059] | $211 | 156% |
| Kempton Group Administrators, Tower Extrusions [3061] | $214 | 158% |
| Dart Member Care [3039] | $228 | 168% |
| Healthscope Benefits [2052] | $228 | 168% |
| Healthscope Benefits [3063] | $228 | 168% |