CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Greater Baltimore Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $118
Cash Discount Price: $245
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Greater Baltimore Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.00x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$118

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: $245 (208%)

Insurance Median: $118 (100%)

Cash: $245 (208% of Medicare)

Ins. Median: $118 (100% 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
Carefirst Blue Choice Hmo [253]	$66 - $147	56%
Carefirst Administrator [252]	$70 - $147	60%
Carefirst [201]	$70 - $147	60%
Aetna	$71 - $123	60%
Medicaid / KanCare	$81 - $111	69%
Carefirst Maryland Health Advantage Mca [264]	$86 - $118	73%
Cfchp Mco [239]	$86 - $118	73%
Cigna	$86 - $150	73%
Communicare Advantage [300]	$86 - $118	73%
Humana	$86 - $118	73%
Johns Hopkins [213]	$86 - $159	73%
Keycare Advantage [299]	$86 - $118	73%
Medicare (plans)	$86 - $118	73%
Multiplan/Phcs [296]	$86 - $136	73%
Provider Partners Health Plan [298]	$86 - $118	73%
UnitedHealthcare	$86 - $122	73%
Md Physician Care [237]	$90 - $122	77%
Priority Partners [241]	$90 - $122	77%
Wellpoint [235]	$90 - $122	77%
Alterwood Health [290]	$92 - $125	78%
Jai Medical Services [236]	$95 - $128	81%
First Health Network [268]	$111 - $154	94%
Kaiser Permanente Hmo [231]	$117 - $167	100%
Usa Managed Care Organization [301]	$213	181%
All Payers	$263 - $722	224%

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 $245.
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 Greater Baltimore Medical Center 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.