CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: Medstar Health Physical Therapy
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$120
about 1.0× the $118 Medicare rate · typically $87–$160
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $120 Cash price $131 Hospital's list price $202
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Kaiser Permanente CignaHumana
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $137 - $162 | 117% |
| Blue Cross Blue Shieldmajor | $99 - $129 | 84% |
| Aetnamajor | $126 | 107% |
| Kaiser Permanentemajor | $141 - $347 | 120% |
| + 1 smaller / regional plan | $154 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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