CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Fairview Park Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $294
Cash Discount Price: $893
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Fairview Park Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 2.50x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

$893

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $893 (760%)

Insurance Median: $294 (250%)

Cash: $893 (760% of Medicare)

Ins. Median: $294 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Amerigroup	$109 - $131	93%
Ambetter / Centene	$118 - $142	100%
Aetna	$122 - $538	104%
Friday Health	$122 - $146	104%
Nhc Advantage	$154 - $185	131%
Pruitt Health	$154 - $185	131%
Peach State	$162 - $195	138%
Wellcare	$162 - $195	138%
Memorial Health Plan	$178 - $439	151%
United	$200 - $439	170%
Cigna	$220 - $354	187%
Centurion	$224 - $270	191%
Leavitt Risk Partners	$243 - $292	207%
Dodge County Hospital	$405 - $488	344%
American Steel Products	$688 - $829	585%
City Of Eastman	$688 - $829	585%
Dodge Co Board Of Commissioners	$688 - $829	585%
Graham Brothers Construction	$688 - $829	585%
Multiplan	$729 - $878	620%
Novanet	$729 - $878	620%

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 $893.
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 Fairview Park 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.