CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: HCA Healthone Rose

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $402
Cash Discount Price: $651
vs. Medicare Baseline: 3.42x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at HCA Healthone Rose is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 3.42x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$651

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $651 (554%)

Insurance Median: $402 (342%)

Cash: $651 (554% of Medicare)

Ins. Median: $402 (342% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 342% of the Medicare baseline (a markup of 242%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Vail Health	$93 - $104	79%
Kaiser	$123 - $178	105%
United	$127 - $309	108%
Aetna	$184 - $362	157%
Bright Health	$184 - $206	157%
Colorado Program For Children With Special Needs	$276 - $309	235%
Cigna	$392 - $439	333%
Western Plains Community Health	$398 - $446	339%
Multiplan	$429 - $617	365%
Northcare	$429 - $480	365%
Physician Health Partners	$429 - $480	365%
Blue Cross Blue Shield	$454 - $508	386%
Pinnacol Workers Comp	$460 - $515	391%
Medical Development International	$490 - $549	417%
Triwest Health Alliance	$490 - $549	417%
Rocky Mtn Planned Parenthood	$521 - $583	443%
Prime Health	$552 - $617	470%

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 $651.
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 HCA Healthone Rose 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.