Office visit, established patient (30-39 min)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 99214 (CPT)
- CPT Billing Code: 99214
- Insurance Median: $333
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.46x 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 $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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). 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 |
|---|---|---|
| Americhoice | $54 | 40% |
| UnitedHealthcare | $54 - $299 | 40% |
| Wellcare | $58 | 43% |
| Horizon | $59 - $295 | 44% |
| Self Pay | $63 | 46% |
| Health Partners Plan | $105 | 77% |
| Amerigroup | $109 | 80% |
| Magnacare | $168 - $379 | 124% |
| Cigna | $177 - $212 | 131% |
| Devoted Health Plan | $210 | 155% |
| Qualcare Commercial | $210 | 155% |
| Evernorth | $210 - $756 | 155% |
| Great West Life | $212 | 156% |
| Aetna | $242 - $348 | 178% |
| Amerihealth | $271 - $354 | 200% |
| Mutual of Omaha | $274 | 202% |
| Qualcare Wc | $274 | 202% |
| Active Care Plus | $274 | 202% |
| First McO | $274 | 202% |
| Consumer Health Network (Chn) | $295 - $379 | 218% |
| Donio Trucking | $295 | 218% |
| Oxford | $316 | 233% |
| Devon/ Ullicare | $316 | 233% |
| Coventry Health Care | $337 | 249% |
| Private Healthcare System (PHCS) | $337 | 249% |
| Blue Cross Blue Shield | $346 | 255% |
| Metrahealth of Nj | $358 | 264% |
| Health South | $358 | 264% |
| Health Payors Org | $358 | 264% |
| Three Rivers Provider Network (Trpn) | $358 | 264% |
| Prime Health Services | $358 | 264% |
| McS Commercial | $379 | 279% |
| Multiplan | $379 | 279% |
| Choice Care | $379 | 279% |
| Galaxy Health Network | $379 | 279% |
| Active Care Nj Pip | $379 | 279% |
| Health Network Inc | $379 | 279% |
| Provider Select, Inc | $379 | 279% |
| Beech Street | $379 | 279% |
| Metracomp | $379 | 279% |
| Intergroup Preferred Program | $379 | 279% |
| Department of Corrections | $379 | 279% |
| Master Care Inc | $389 | 287% |
| Atlantis Health Plan | $389 | 287% |
| Health Network America | $400 | 295% |
| Community Care Network | $400 | 295% |
| National Health Plan | $400 | 295% |
| Advance Healthcare System | $400 | 295% |
| McSi/Mrsi Worker's Comp | $400 | 295% |
| McSi/Mrsi No Fault | $400 | 295% |