CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Rapides Regional Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $171
  • Cash Discount Price: $491
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Rapides Regional Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.45x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.
Cash / Self-Pay
$491

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $491 (418%)
Insurance Median: $171 (145%)
Cash: $491 (418% of Medicare)
Ins. Median: $171 (145% 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
Aetna $34 - $371 29%
Amerihealth Mercy La Lacare $38 32%
United $38 - $240 32%
Amerigroup $39 33%
Louisiana Healthcare Connections, Inc. $39 33%
Humana $42 - $804 36%
Blue Cross Blue Shield $61 - $429 52%
Verity $68 - $322 58%
Ppo Plus $86 - $407 73%
Louisiana Workers Compensation Corporation $110 - $525 94%
Gilsbar 360 $120 - $568 102%
Multiplan $122 - $623 104%
Dma Regional Ppo $158 - $750 134%
Employers Health Network $158 - $750 134%
First Health $158 - $750 134%
Healthsouth Corporation $158 - $750 134%
Plan Vista Solutions (Nppn) $176 - $836 150%
Medical Development International $180 - $858 153%
Bestcomp $183 - $868 156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 4Th Street, Alexandria, LA 71301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals