CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Baptist Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $153
Cash Discount Price: $47
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Baptist Hospital is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.30x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

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: $47 (40%)

Insurance Median: $153 (130%)

Cash: $47 (40% of Medicare)

Ins. Median: $153 (130% 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
Aetna	$34 - $241	29%
Pensacola	$45 - $50	38%
Fl Blue	$62 - $132	53%
UnitedHealthcare	$74 - $87	63%
Hospice Regency	$89 - $99	76%
Bc Fl	$92 - $102	78%
Uwf Athletes	$125 - $214	106%
Cigna	$141 - $330	120%
Hospice Emerald Coast	$148 - $165	126%
Escambia	$178 - $198	151%
Private Healthcare	$193 - $214	164%
First Health	$206 - $229	175%
Wc Corvel	$212 - $314	180%
Choicecare	$223 - $248	190%
Mh Choicecare	$223 - $248	190%
Multiplan	$264 - $294	225%

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 $47.
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 Baptist Hospital 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.