New patient office visit (30-44 min)
Facility: Kearny County Hospital
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $211
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.79x 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 |
|---|---|---|
| Humana | $196 | 167% |
| Point C | $196 | 167% |
| Blue Cross Blue Shield | $196 - $18,032 | 167% |
| Allied Benefit - Aso | $196 | 167% |
| UnitedHealthcare | $196 - $835 | 167% |
| Insurance Administrator Of Ame | $196 | 167% |
| Luminare Health | $196 - $211 | 167% |
| Community Care Health Plan Of | $211 - $252 | 179% |
| Kansas Solutions | $211 - $644 | 179% |
| Meritain Health | $211 | 179% |
| Allied Benefit - Bpo | $211 | 179% |
| Wps Gha - Mac J5 Part A | $546 - $644 | 464% |
Consumer Guidance & Cost Commentary
For this office visit at Kearny County Hospital in Lakin, KS, the negotiated rates vary significantly depending on your insurance plan, ranging from a low of $196 to a high of $18,032 across 12 different payers. While the median amount paid by insurers is $114, the facility's cash median is not available in the current data. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. To secure the lowest possible cost, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which often provide immediate fee reductions for upfront payments.
When evaluating the value of this service, it is helpful to compare the facility's pricing against the Medicare benchmark, which stands at $117.57 for this procedure. The data indicates a multiplier of 1.8 when comparing the facility's rates to Medicare, suggesting the commercial pricing structure is substantially higher than the federal baseline. Since this is a Critical Access Hospital with government-local ownership, understanding these benchmarks helps clarify the true cost of care versus the inflated chargemaster lists often used for marketing. Always request an itemized bill before paying to ensure no errors or unbundled charges are included, and remember that federal protections like the No Surprises Act may limit balance billing for out-of-network services at in-network facilities.