New patient office visit (30-44 min)
Facility: Menorah Medical Center
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $311
- Cash Discount Price: $1,177
- vs. Medicare Baseline: 2.65x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 265% of the Medicare baseline (a markup of 165%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Nhc Advantage | $16 - $284 | 14% |
| Healthyblue | $17 - $299 | 14% |
| Coventry | $19 - $602 | 16% |
| Blue Cross Blue Shield | $20 - $344 | 17% |
| Aetna | $22 - $764 | 19% |
| United | $22 - $674 | 19% |
| Universal Healthcare | $30 - $524 | 26% |
| Coventry Kc Mo | $35 - $614 | 30% |
| College Park Family Care Center | $37 - $644 | 31% |
| Oha Network | $43 - $749 | 37% |
| Multiplan | $46 - $1,198 | 39% |
| Corvel Corporation | $56 - $973 | 48% |
| Cco, Inc. | $65 - $1,123 | 55% |
| Triwest Health Alliance | $65 - $1,123 | 55% |
| Focus Healthcare Mgmt, Inc | $65 - $1,123 | 55% |
| Cigna | $69 - $1,198 | 59% |
| Humana | $138 - $172 | 117% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at Menorah Medical Center in Overland Park, KS, the cash price is $1,177.00, which matches the facility's median paid amount. This rate is significantly higher than the state average, reflecting a markup of 2.6 times the Medicare benchmark of $117.57. While commercial insurance plans like Nhc Advantage and Healthyblue negotiate rates ranging from $16 to $299, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can result in lower out-of-pocket costs compared to the insurance allowed amount, provided the patient has not yet met their deductible.
Patients should proactively inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If a patient receives a balance bill from an out-of-network provider, they may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services at in-network facilities. Always verify your specific plan's deductible status and network tiering to ensure you are receiving the most favorable rate available.