CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Baptist Memorial Hospital-Crittenden, Inc

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $222
Cash Discount Price: $62
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Baptist Memorial Hospital-Crittenden, Inc is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.89x the Medicare baseline. Located in 2100 North Seventh Street, West Memphis, AR.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)

Cash / Self-Pay: $62 (53%)

Insurance Median: $222 (189%)

Cash: $62 (53% of Medicare)

Ins. Median: $222 (189% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Novasys	$64 - $66	54%
Aetna	$82 - $125	70%
Magnolia Tn	$96 - $99	82%
Oscar	$142 - $146	121%
Blue Cross Blue Shield	$154 - $339	131%
Ppo Holdings	$154 - $159	131%
Cooper Realty	$162 - $167	138%
Magnolia Regional Health Center	$162 - $167	138%
Multiplan	$175 - $314	149%
Littler	$203 - $209	173%
First Choice Health Plan Of Ms	$215 - $222	183%
Humana	$219 - $226	186%
Access Health Services	$244 - $251	208%
Butler Snow	$244 - $251	208%
Primewell	$244 - $251	208%
Ppo Plus	$325 - $334	276%

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 $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baptist Memorial Hospital-Crittenden, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
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.