CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Yuma District Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $229
  • Cash Discount Price: $200
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Yuma District Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $200. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.95x the Medicare baseline. Located in 1000 W 8Th Ave, Yuma, CO.
Cash / Self-Pay
$200

Average discount available for prompt cash payment at this facility.

Insurance Median
$229

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: $200 (170%)
Insurance Median: $229 (195%)
Cash: $200 (170% of Medicare)
Ins. Median: $229 (195% 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
Cigna $97 83%
Aetna $198 - $245 168%
Blue Cross Blue Shield $198 - $229 168%
Corvel___Plan_ $200 170%
Friday_Health_Plan___Plan_ $226 192%
Medicare (plans) $226 192%
Rocky_Mountain_Health_Plan___Plan_ $226 192%
Triwest___Plan_ $226 192%
Medrisk_Preferred___Plan_ $239 203%
Three_Rivers___Plan_ $239 203%
Cofinity_Preferred___Plan_ $253 215%
Uc_Health_Plan___Plan_ $253 215%
Humana $258 219%
Midlands_Choice___Plan_ $258 219%
Multiplan_Open_Access___Plan_ $258 219%
Multiplan_Ppo___Plan_ $258 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 W 8Th Ave, Yuma, CO 80759
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals