New patient office visit (30-44 min)
Facility: Grisell Memorial Hospital
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $167
- Cash Discount Price: $214
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Blue Cross Blue Shield | $95 | 81% |
| UnitedHealthcare | $167 | 142% |
| Medicaid / KanCare | $225 | 191% |
| Humana | $316 | 269% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at Grisell Memorial Hospital in Ransom, KS, the negotiated rates vary significantly depending on your insurance carrier. While Medicaid / KanCare members face a rate of $225 and UnitedHealthcare members pay $167, Blue Cross Blue Shield members are charged $95. It is important to note that the cash-pay median price for this service is $214, which is actually lower than the negotiated rate for UnitedHealthcare and Humana members. If you have a high-deductible plan or have already met your deductible, paying the cash price of $214 upfront could save you money compared to having your insurance negotiate a higher rate, provided you secure a prompt-pay discount before scheduling.
This facility is a Critical Access Hospital owned by a Government Hospital District, and its pricing is benchmarked against the national Medicare rate of $117.57. The cash price of $214 represents a 1.4x markup over the Medicare amount, which is consistent with typical commercial pricing structures where negotiated rates often range from 200% to 300% of the Medicare baseline. To ensure you are receiving the best possible price, we recommend requesting a formal itemized bill before payment to verify that no unbundled codes or services not rendered have inflated your total. Additionally, since prompt-pay discounts can reduce bills by 20% to 50%, please contact the hospital directly to confirm if a self-pay or prompt-pay rate is available prior to your appointment.