CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: John Dempsey Hospital of the University of Connect

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $192
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at John Dempsey Hospital of the University of Connect is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.63x the Medicare baseline. Located in 263 Farmington Ave, Farmington, CT.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$192

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: $186 (158%)
Insurance Median: $192 (163%)
Cash: $186 (158% of Medicare)
Ins. Median: $192 (163% 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
UnitedHealthcare $89 - $1,684 76%
Aetna $105 - $222 89%
Blue Cross Blue Shield $105 - $301 89%
Care Partners of Connecticut $105 89%
Connecticare $105 - $203 89%
Humana $105 89%
Wellcare $108 92%
Evernorth $168 143%
Cigna $192 - $244 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 263 Farmington Ave, Farmington, CT 06032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals