CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Caldwell Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$94
about 0.8× the $118 Medicare rate · typically $67–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$85
About the fair price
about $9 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $94 This hospital $85 Cash price $158 Hospital's list price $211

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $85

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $94 (about 0.8× the $118 Medicare rate). Caldwell Medical Center charges insurers about $85, or about $158 in cash — about the fair price. Located in Princeton, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $53 - $121 45%
Blue Cross Blue Shieldmajor $57 - $173 48%
Aetnamajor $52 - $95 44%
Cignamajor $136 - $223 116%
Humanamajor $52 - $95 44%
Molina $57 - $95 48%
WellCare $79 - $130 67%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 100 Medical Center Drive, Princeton, KY 42445
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals