New patient office visit (30-44 min)
Facility: Lindsborg Community Hospital
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $103
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.88x 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 |
|---|---|---|
| Coventry Mcr Adv | $40 - $86 | 34% |
| Tricare | $40 - $85 | 34% |
| Cigna | $72 - $155 | 61% |
| Coventry Comm-All Other Plans | $76 - $164 | 65% |
| UnitedHealthcare | $76 - $164 | 65% |
| Phcs Preferred-All Plans | $78 - $169 | 66% |
| Multiplan-All Plans | $78 - $169 | 66% |
| Coventry Wc | $80 - $173 | 68% |
| Health Partners -All Plans | $80 - $173 | 68% |
| Wppa-All Plans | $80 - $173 | 68% |
| Century Health-All Plans | $80 - $173 | 68% |
| Blue Cross Blue Shield | $100 | 85% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at Lindsborg Community Hospital in Kansas, the cash price is $82.00, which is lower than the facility's negotiated rates of $103.00 to $105.00 paid by major insurers like Coventry, Tricare, and Cigna. While commercial payers generally negotiate rates between $40 and $173 depending on the specific plan, the cash price remains the most affordable option for self-pay patients. It is important to note that for individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $82.00 upfront can be significantly cheaper than the insurance negotiated rate, which may exceed the cash amount before the deductible is satisfied. Patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these programs often offer additional reductions for upfront payment and bypass the administrative costs associated with insurance claims processing.
The facility's pricing is benchmarked against the Medicare rate of $117.57, which serves as a scientifically validated baseline for the true cost of care in this region. Although the cash price of $82.00 is below the Medicare amount, it is important to compare rates against the broader market rather than the hospital's inflated chargemaster list, which can range from $72 to $173 for out-of-network payers. Under federal protections like the No Surprises Act, patients are generally shielded from balance billing for emergency care or non-emergency services at in-network facilities, though they should still review any itemized bills for errors such as unb