CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Clarinda Regional Health Center

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$95

about 0.8× the $118 Medicare rate · typically $67–$216

modeled estimate · not a bill or quote

Medicare pays $118 Fair price $95 Cash price $139 Hospital's list price $236

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

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	$36 - $225	31%
Blue Cross Blue Shieldmajor	$37 - $241	31%
Aetnamajor	$71 - $235	60%
Ambetter (Centene)	$36 - $250	31%
Amerigroup	$40 - $250	34%
GEHA	$71 - $232	60%
Molina	$36 - $237	31%
+ 1 smaller / regional plan	$40 - $250

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 139), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Clarinda Regional Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Clarinda Regional Health Center

Compare: New patient office visit (30-44 min) at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.