CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Murray-Calloway County Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $110
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Murray-Calloway County Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.94x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $108 (92%)
Insurance Median: $110 (94%)
Cash: $108 (92% of Medicare)
Ins. Median: $110 (94% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $52 - $166 44%
Tricare $70 60%
Triwest - All Plans $70 60%
Bluegrass - All Plans $80 68%
UnitedHealthcare $80 68%
Medben City Of Murray - All Other Plans $87 74%
Multiplan - All Plans $87 74%
Ambetter / Centene $94 80%
Center Care - All Plans $100 85%
Healthsmart - All Plans $100 85%
Blue Cross Blue Shield $108 - $166 92%
Occunet - All Plans $111 94%
Medben Mcch Employees $118 100%
First Health - All Plans $125 106%
Three Rivers - All Plans $133 113%
Aetna $166 141%
Corvel Corporation - All Plans $166 141%
Medicaid / KanCare $166 141%
Passport Health - All Plans $166 141%
Coventry Cares Of Ky - All Plans $173 147%
Health Cost Solutions - All Plans $174 148%
Wellcare Health Plan Inc $174 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 803 Poplar Street, Murray, KY 42071
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals