CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Banner Casa Grande Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $182
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Banner Casa Grande Medical Center is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.55x the Medicare baseline. Located in 1800 East Florence Boulevard, Casa Grande, AZ.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

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: $180 (153%)
Insurance Median: $182 (155%)
Cash: $180 (153% of Medicare)
Ins. Median: $182 (155% 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.

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
Aetna $18 - $1,165 15%
Health Choice Arizona, Inc. $27 - $1,105 23%
Hospice Of The Valley $32 - $774 27%
Arizona Priority Care $36 - $884 31%
UnitedHealthcare $39 - $1,085 33%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $40 - $994 34%
Plotkin Health $40 - $994 34%
Cigna $44 - $1,092 37%
Oscar Health Plan $45 - $1,105 38%
Quiktrip Corporation $49 - $1,193 42%
Arizona Physicians Ipa $55 47%
Banner University Health Plan $55 47%
Health Net $55 - $1,193 47%
Mercy Care $55 47%
Arizona Medical Network $63 - $1,547 54%
Provider Network Of America $68 - $1,658 58%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 East Florence Boulevard, Casa Grande, AZ 85122
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals