CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Tift Regional Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $359
Cash Discount Price: $233
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Tift Regional Medical Center is $359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 3.05x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$359

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: $233 (198%)

Insurance Median: $359 (305%)

Cash: $233 (198% of Medicare)

Ins. Median: $359 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Wellcare	$78 - $98	66%
Amerigroup	$90	77%
Medicaid / KanCare	$90 - $112	77%
Peachstate	$94	80%
Caresource	$99 - $123	84%
Tricare	$101 - $497	86%
Peach State Health Plan	$109	93%
Health One Alliance	$150	128%
Blue Cross Blue Shield	$155 - $497	132%
Caresource Marketplace Exchange	$155	132%
Zelis Network Solutions	$176	150%
Humana	$200 - $248	170%
Self Pay 50	$200 - $248	170%
UnitedHealthcare	$337 - $420	287%
Aetna	$345 - $429	293%
Misc Commercial Insurance Plans	$359 - $447	305%
Self Pay	$359 - $447	305%
Cigna	$364 - $454	310%
Misc Non Contracted Commercial Plans	$399 - $497	339%

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 $233.
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 Tift Regional Medical Center 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.