CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Taylor Regional Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $164
Cash Discount Price: $171
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Taylor Regional Hospital is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.39x the Medicare baseline. Located in 1700 Old Lebanon Road, Campbellsville, KY.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $171 (145%)

Insurance Median: $164 (139%)

Cash: $171 (145% of Medicare)

Ins. Median: $164 (139% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$38 - $266	32%
Blue Cross Blue Shield	$56 - $457	48%
Humana	$59 - $334	50%
Medicare (plans)	$70	60%
UnitedHealthcare	$70 - $266	60%
Healthsmart Accel Pro Fee Only - All Other Plans	$73	62%
Healthsmart Ppo Pro Fee Only	$74	63%
Aetna	$79 - $297	67%
Cigna	$86 - $200	73%
Healthsmart Hpo Pro Fee Only	$90	77%
Caresource Mcr Adv-All Plans	$117	100%
Coventry-First Health-All Other Plans	$134 - $311	114%
Siho Network-All Plans	$143 - $333	122%
Multiplan-All Plans	$159 - $369	135%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $171.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 99203.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Taylor Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 99203.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.