New patient office visit (30-44 min)
Facility: Goodland Regional Medical Center
Billing Code: 99203 (CPT)
- CPT Billing Code: 99203
- Insurance Median: $180
- Cash Discount Price: $180
- vs. Medicare Baseline: 1.53x 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 | $101 | 86% |
| Wppa | $128 - $252 | 109% |
| UnitedHealthcare | $135 - $252 | 115% |
Consumer Guidance & Cost Commentary
For a new patient office visit lasting 30 to 44 minutes at Goodland Regional Medical Center in Goodland, KS, the cash median price is $180.00, which aligns with the facility's median negotiated rate. This service is benchmarked against Medicare, which sets a fixed reimbursement of $117.57; the cash price represents a 1.5x markup relative to this federal baseline. While commercial payers like Wppa and UnitedHealthcare have negotiated rates ranging from $128 to $252, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if the insurance allowed amount is higher than the cash rate. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs.
Goodland Regional Medical Center is a Critical Access Hospital owned by the local government, and while the facility has a rating of 2, the pricing data reflects standard commercial benchmarks for the region. Patients should proactively ask about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, bypassing the administrative overhead associated with insurance claims. If you receive a bill after using insurance, always request a full itemized statement to review every CPT code and unit cost, as over 80% of hospital bills contain errors such as double-billing or unbundled charges. Under the No Surprises Act, you are protected from balance billing for emergency care and non-emergency services at in-network facilities, so do not pay surprise bills