CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.9× the $118 Medicare rate · typically $71–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Below the fair price — a good deal
about $26 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $101 This hospital $75 Cash price $143 Hospital's list price $179

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IL hospitals compared.

Cheapest $60 Priciest $78

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $101 (about 0.9× the $118 Medicare rate). Thomas H Boyd Memorial Hospital charges insurers about $75, or about $143 in cash — below the fair price — a good deal. Located in Carrollton, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $62 - $93 53%
Blue Cross Blue Shieldmajor $71 - $134 60%
Aetnamajor $71 - $134 60%
Cignamajor $80 - $128 68%
Humanamajor $92 78%
Ambetter (Centene) $73 - $119 62%
HealthLink $75 - $136 64%
Meridian $71 60%
Molina $71 60%
WellCare $91 77%
+ 2 smaller / regional plans $88 - $110
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 School St, Carrollton, IL 62016
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals