CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Deaconess Hospital Inc

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $89
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Deaconess Hospital Inc is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.76x the Medicare baseline. Located in 600 Mary St, Evansville, IN.
Cash / Self-Pay
$87

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $87 (74%)
Insurance Median: $89 (76%)
Cash: $87 (74% of Medicare)
Ins. Median: $89 (76% 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 - $150 48%
Blue Cross Blue Shield $56 - $145 48%
Medicaid / KanCare $56 - $103 48%
Meridiancomplete (Il) $56 48%
Meridianhealth (Il) $56 48%
Youthcare (Meridian Il) $56 48%
Youthcare (Wellcare Il) $56 48%
Humana $61 - $150 52%
UnitedHealthcare $61 - $103 52%
Medicare (plans) $75 64%
Meridiancare (Il) $75 64%
Molina (Il) Mmai $75 64%
Molina Il $75 64%
Mytru Advantage $75 64%
Triwest Vapc3 $75 64%
Wellcare (Il) Mmai $75 64%
Deaconess Onecare $79 67%
Iu Health Network $79 67%
Ambetter / Centene $82 70%
Mhnet $82 70%
Ky Racing Health & Welfare Fund $87 74%
Self-Pay $87 74%
Chamber Care $88 75%
Patoka Valley Health Care (80/20 Plan) $90 77%
Patoka Valley Health Care (90/10 Plan) $90 77%
Immergrun $92 78%
United Behavioral Health $93 79%
Caresource In Marketplace $97 83%
Center Care Narrow Select $100 85%
Center Care Open Access $100 85%
Alliance Coal $103 88%
Caresource In $103 88%
Allied National $105 89%
Claimdoc $105 89%
Healthscope $105 89%
Hopetrust $112 95%
Hstechnology $112 95%
Encircle/Encore Combined $120 102%
Encircle/Encore Elite+ $120 102%
Encircle/Encore Prime $120 102%
Noncontracted $120 102%
Naphcare $123 105%
Cigna $150 128%
Claritev (Formerly Phcs Multiplan) $150 128%
First Health $150 128%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $150 128%
Parkview Signature Care $169 144%
Healthlink $187 - $212 159%
National Rural Electric $219 186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Mary St, Evansville, IN 47747
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals