CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Ferrell Hospital Community Foundations

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $126
  • Cash Discount Price: $262
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Ferrell Hospital Community Foundations is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.07x the Medicare baseline. Located in 1201 Pine Street, Eldorado, IL.
Cash / Self-Pay
$262

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $262 (223%)
Insurance Median: $126 (107%)
Cash: $262 (223% of Medicare)
Ins. Median: $126 (107% 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.

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 $56 - $279 48%
Blue Cross Blue Shield $56 - $279 48%
Meridian Health Plan $56 - $126 48%
Molina Healthcare Of Illinois $56 - $126 48%
Healthlink $75 - $297 64%
Cigna $90 - $279 77%
Health Alliance $126 - $279 107%
Humana $126 107%
UnitedHealthcare $126 - $297 107%
Wellcare $126 107%
Healthsmart (Ihg) $279 237%
Hope Trust $279 237%
Multiplan/Phcs $279 237%
Zelis (Hfn) $279 237%
Sagamore $286 243%
Corvel $314 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Pine Street, Eldorado, IL 62930
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals