Office visit, established patient (20-29 min)
Facility: Baptist Medical Center Attala
Billing Code: 99213 (CPT)
- CPT Billing Code: 99213
- Insurance Median: $311
- Cash Discount Price: $226
- vs. Medicare Baseline: 3.27x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $95.19 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 327% of the Medicare baseline (a markup of 227%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ms State Dept of Health | $67 | 70% |
| Advanced Health Systems Inc. | $122 | 128% |
| Blue Cross Blue Shield | $122 - $207 | 128% |
| Tricare | $151 - $191 | 159% |
| Triwest | $159 - $201 | 167% |
| Molina | $159 - $371 | 167% |
| Vaccn | $159 - $201 | 167% |
| Ms Breast and Cervical | $159 - $201 | 167% |
| Devoted Health | $162 - $205 | 170% |
| Humana | $166 - $516 | 174% |
| American Health Plan | $166 - $211 | 174% |
| Cigna | $166 - $211 | 174% |
| Aetna | $166 - $499 | 174% |
| Magnolia Ms | $166 - $211 | 174% |
| Shared Health | $166 - $211 | 174% |
| Wellcare | $166 - $211 | 174% |
| Primewell | $166 - $211 | 174% |
| PPO Holdings | $172 - $218 | 181% |
| Magnolia Regional Health Center | $181 - $229 | 190% |
| UnitedHealthcare | $185 | 194% |
| Littler | $226 - $286 | 237% |
| First State Bank Trust | $270 - $341 | 284% |
| Burch Food Services | $270 - $341 | 284% |
| Ritchey Automotive | $285 - $361 | 299% |
| Silver Tree | $285 - $361 | 299% |
| W W Wood Products | $285 - $361 | 299% |
| Minact | $285 - $361 | 299% |
| Security One | $285 - $361 | 299% |
| United Tn Holdings | $285 - $361 | 299% |
| Patterson Warehouses | $285 - $361 | 299% |
| W G Yates | $285 - $361 | 299% |
| Rei Nation | $285 - $361 | 299% |
| Mid-South Transport | $285 - $361 | 299% |
| French Camp Academy | $285 - $361 | 299% |
| Dunn Investment Company | $285 - $361 | 299% |
| Mechanical Systems | $285 - $361 | 299% |
| Vaughn Electric | $285 - $361 | 299% |
| Watkins Uiberall | $285 - $361 | 299% |
| Malco Theaters | $285 - $361 | 299% |
| Desoto Co Board of Supervisors | $285 - $361 | 299% |
| First Community Bank | $285 - $361 | 299% |
| Heartland Catfish Company | $285 - $361 | 299% |
| Armstrong Relocation | $285 - $361 | 299% |
| Crittenden County | $285 - $361 | 299% |
| State Systems | $285 - $361 | 299% |
| First Choice Health Plan of Ms | $285 - $361 | 299% |
| Brimhall Foods | $285 - $361 | 299% |
| Radians | $285 - $361 | 299% |
| Delta Industries | $285 - $361 | 299% |
| Hattiesburg Clinic | $285 - $361 | 299% |
| Davidson Hospitality | $285 - $361 | 299% |
| Cannon Motor Company | $285 - $361 | 299% |
| Jas D Collier | $285 - $361 | 299% |
| Hospitality Management Advisors | $285 - $361 | 299% |
| Retzer Resources | $285 - $361 | 299% |
| Heavy Machines | $285 - $361 | 299% |
| Gossett Motor Cars | $285 - $361 | 299% |
| Carlisle | $285 - $361 | 299% |
| Ashley Furniture Stores | $285 - $361 | 299% |
| Y K Auto Group | $285 - $361 | 299% |
| Building Plastic | $285 - $361 | 299% |
| Multiplan | $317 - $401 | 333% |
| Harding Academy | $317 - $401 | 333% |
| PPO Plus | $317 - $401 | 333% |
| Employers Health Network | $317 - $401 | 333% |
| Ms Dept of Rehab Services | $453 - $573 | 476% |