New patient office visit (30-44 min)
Facility: University Of Kansas Hospital
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $133
- Cash Discount Price: $329
- vs. Medicare Baseline: 1.13x 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 |
|---|---|---|
| Oscar [503201609] | $98 | 83% |
| Triwest [503201703] | $124 | 105% |
| Lasso Healthcare [503999926] | $124 | 105% |
| Tricare | $124 | 105% |
| Humana | $124 - $127 | 105% |
| Allwell [503200078] | $128 | 109% |
| UnitedHealthcare | $133 - $199 | 113% |
| Centivo [5032000982] | $134 | 114% |
| Wellfit [503301514] | $134 | 114% |
| Ambetter / Centene | $138 | 117% |
| Centurion [5032000966] | $162 | 138% |
| 6 Degrees Health [503999050] | $203 | 173% |
| Advanced Medical Pricing Solutions [503301513] | $244 | 208% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at University Of Kansas Hospital in Kansas City, KS, the cash price is $329.00, which is significantly lower than the facility's gross charge of $1,646.00. While the facility is a government-owned acute care hospital, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare's negotiated range spans from $133 to $199, and Humana's ranges from $124 to $127, both of which are higher than the cash rate. This dynamic suggests that if you have a high-deductible plan, paying the cash price directly might result in lower out-of-pocket costs compared to your insurance's allowed amount, provided you can secure the cash rate before your deductible is met.
To ensure you are not subject to unexpected balance billing, it is critical to verify your network status and request a prompt-pay discount if you choose to pay out-of-pocket. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still demand a full itemized bill to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. When reviewing your statement, compare the facility's rates against the Medicare benchmark of $117.57; commercial rates are often marked up significantly above this federal baseline. Finally, always ask the hospital directly about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the total cost by 20% to 50% and bypass costly