New patient office visit (30-44 min)
Facility: St. Catherine Hospital - Garden City
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $78
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.66x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cigna | $73 - $78 | 62% |
| Blue Cross Blue Shield | $73 - $527 | 62% |
| Kaiser | $73 - $78 | 62% |
| Aetna | $73 - $78 | 62% |
| Medicare (plans) | $73 - $78 | 62% |
| Kansas Health | $73 | 62% |
| Humana | $73 - $78 | 62% |
| UnitedHealthcare | $73 - $78 | 62% |
| Devoted Health | $78 | 66% |
| Innovage | $78 | 66% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at St. Catherine Hospital in Garden City, Kansas, the negotiated rates for in-network insurance plans range from $73 to $78. These commercial rates are consistent across most major payers, including Cigna, Aetna, and UnitedHealthcare, and align closely with the state average of $78.00. While the facility is a voluntary non-profit church-owned acute care hospital, the pricing structure reflects standard market rates for this service in the region. It is important to note that while insurance contracts cap these charges, the actual amount a patient pays depends heavily on their specific plan's deductible and copay structure.
Patients should be aware that cash-pay options may offer a lower out-of-pocket cost if their insurance negotiated rate exceeds the cash price, particularly for those with high-deductible plans. Although cash and median paid figures are not currently listed for this specific code, patients are encouraged to ask the hospital directly about self-pay or prompt-pay discounts, which can reduce bills by 20% to 50% when paid upfront. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, and they should always request a full itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.