CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Glenn Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $205
Cash Discount Price: $144
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Glenn Medical Center is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.74x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$205

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: $144 (122%)

Insurance Median: $205 (174%)

Cash: $144 (122% of Medicare)

Ins. Median: $205 (174% 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
Medi-Cal	$57 - $82	48%
UnitedHealthcare	$65 - $211	55%
Ca Health And Wellness - All Plans	$91	77%
Blue Cross Blue Shield	$175 - $271	149%
Blue Shield Exch	$175 - $213	149%
Cigna	$184 - $224	157%
First Health - All Plans	$184 - $224	157%
Healthnet - All Plans	$184 - $224	157%
Beech Street - All Plans	$195 - $237	166%
Blue Shield Ppo/Hmo - All Other Plans	$195 - $237	166%
Dept Of Corrections - All Plans	$195 - $237	166%
Galaxy Health Network - All Plans	$195 - $237	166%
Interplan - All Plans	$195 - $237	166%
Pacific Health Alliance - All Plans	$195 - $237	166%
Pponext - All Plans	$195 - $237	166%
Superior Ca Ppo - All Plans	$195 - $237	166%
Integrated Hp - All Plans	$201 - $245	171%
Health Mgmt Network - All Plans	$205 - $250	174%
Networks By Design - All Plans	$205 - $250	174%
Three Rivers - All Plans	$205 - $250	174%
Humana	$268	228%

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 $144.
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 Glenn Medical Center 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.