CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Hancock Regional Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $152
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Hancock Regional Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.29x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $186 (158%)
Insurance Median: $152 (129%)
Cash: $186 (158% of Medicare)
Ins. Median: $152 (129% 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
Blue Cross Blue Shield $68 - $312 58%
Iu Health Mcr Adv $68 58%
Triwest - All Plans $68 58%
UnitedHealthcare $68 - $312 58%
Va Ccn - All Plans $68 58%
Caresource Mcr Adv $69 59%
Beech Street Mcr Adv $70 60%
Humana $70 - $296 60%
Allwell Mcr Adv - All Plans $71 60%
Communicare Mcr Adv - All Plans $71 60%
Ascension - All Plans $114 - $234 97%
Aetna $116 - $312 99%
Cigna $122 - $250 104%
Encore Encircle $122 - $250 104%
Hancock Phys Network-All Plans $122 - $250 104%
Unified Group Services- All Plans $122 - $250 104%
Advantage Self Funded Ppo-All Other Plans $125 - $256 106%
Healthmark/Healthchoice-All Plans $125 - $256 106%
Sagamore-All Plans $125 - $256 106%
Encore-All Other Plans $129 - $265 110%
Consumers Life-All Plans $134 - $275 114%
St Vincent Cmo-All Plans $134 - $275 114%
Ambetter / Centene $136 116%
Siho-All Plans $137 - $281 117%
Great West-All Plans $140 - $287 119%
Savility - All Plans $140 - $287 119%
Cofinity/Ppom - All Plans $141 - $290 120%
First Health/Coventry-All Plans $143 - $293 122%
Mail Handlers-All Plans $143 - $293 122%
Golden Rule Ins-All Plans $144 - $296 122%
Indiana Health Network-All Plans $144 - $296 122%
Phcs-All Plans $144 - $296 122%
Beech Street Ppo - All Other Plans $146 - $300 124%
Comm Hlth Alliance - All Plans $147 - $303 125%
Multiplan-All Plans $149 - $306 127%
Advantage Preferred Plus $152 - $312 129%
Healthy Indiana Plan-All Plans $152 - $312 129%
Mhs/Mdwise Mcaid-All Plans $152 - $312 129%
Caresource Comm - All Other Plans $170 145%
Iu Health-All Other Plans $186 158%
Copps - All Plans $313 - $643 266%
Pro Health - All Plans $456 - $936 388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals