New patient office visit (30-44 min)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $102
- Cash Discount Price: $122
- vs. Medicare Baseline: 0.87x 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 |
|---|---|---|
| Direct Benefit-All Plans | $28 - $52 | 24% |
| UnitedHealthcare | $34 - $215 | 29% |
| Berkley Net-All Plans | $47 - $86 | 40% |
| Aetna | $51 - $146 | 43% |
| Trustmark Health Benefits-All Plans | $51 - $95 | 43% |
| Meritain Health-All Plans | $53 - $97 | 45% |
| Ambetter / Centene | $56 - $103 | 48% |
| Axa Equitable - All Plans | $64 - $118 | 54% |
| Pinnacol-All Plans | $66 - $120 | 56% |
| Medi-Share-All Plans | $67 - $123 | 57% |
| Presbyterian-All Plans | $71 - $131 | 60% |
| Kasb Work Comp - All Plans | $75 - $138 | 64% |
| The Kempton Group Admin-All Plans | $81 - $148 | 69% |
| Auxiant - All Plans | $82 - $150 | 70% |
| Gpha(Wppa)-All Other Plans | $82 - $150 | 70% |
| Wppa- All Plans | $83 - $153 | 71% |
| Emc-All Plans | $84 - $155 | 71% |
| Providers Care Network- All Plans | $84 - $155 | 71% |
| Sisco-All Plans | $84 - $155 | 71% |
| Gpha Employee Benefit Plan | $85 - $157 | 72% |
| Regional Care(Wppa)-All Plans | $88 - $161 | 75% |
| Employee Benefit-All Plans | $88 - $161 | 75% |
| Triangle-All Plans | $89 - $163 | 76% |
| First Health -All Plans | $89 - $163 | 76% |
| One Call Physician-All Plans | $90 - $166 | 77% |
| Blue Cross Blue Shield | $92 - $170 | 78% |
| Christian Hospital Aid - All Plans | $94 - $172 | 80% |
| Tricare | $94 - $172 | 80% |
| Humana | $101 - $185 | 86% |
| Luminare Health- All Plans | $103 - $189 | 88% |
| Cigna | $103 - $189 | 88% |
| Coresource-All Plans | $105 - $194 | 89% |
| Deseret Mutual(Uhis)-All Plans | $105 - $194 | 89% |
| Vaccn-All Plans | $108 - $198 | 92% |
| Reserve National-All Plans | $111 - $204 | 94% |
| Wps Vapc-All Plans | $111 - $204 | 94% |
| Hma Llc-All Plans | $111 - $204 | 94% |
| Medicaid / KanCare | $117 - $215 | 100% |
Consumer Guidance & Cost Commentary
For this new patient office visit (30-44 minutes) at Satanta District Hospital, the cash price is $122.00, which is lower than the facility's gross charge of $136.00. While the facility is a Critical Access Hospital in Kansas, the data provided does not include specific county or state average rates for comparison. Patients with high-deductible plans may find paying the cash price of $122.00 more cost-effective than using insurance, as many commercial payers negotiate rates that exceed the cash amount. For instance, UnitedHealthcare's negotiated rate range spans from $34 to $215, and Humana's range goes from $101 to $185, meaning the cash price could result in significant out-of-pocket savings if the patient's deductible has not yet been met.
To minimize unexpected costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling or receiving care, as these upfront fee reductions can lower the final bill. It is also important to understand that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, it does not apply to routine office visits; therefore, patients must verify their network status and allowed amounts prior to service. Finally, if a patient receives an itemized bill, they should request a full line-by-line audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.