CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Chippewa County Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $105
Cash Discount Price: $162
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Chippewa County Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.89x the Medicare baseline. Located in 824 North 11Th Street, Montevideo, MN.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $162 (138%)

Insurance Median: $105 (89%)

Cash: $162 (138% of Medicare)

Ins. Median: $105 (89% 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
Health Partners Comm - All Other Plans	$54 - $225	46%
Ucare Msho	$57 - $170	48%
Ucare Non-Dual	$60 - $170	51%
Medica Mcaid	$61 - $116	52%
Health Partners Mcr	$76 - $165	65%
Medica Mcr Adv	$76 - $103	65%
Medica Mcr Cost/Select	$76 - $103	65%
Ucare Mcr Select	$87 - $165	74%
Ucare Mcr Adv	$89 - $170	76%
Ucare Ifp - All Other Plans	$99 - $190	84%
Blue Cross Blue Shield	$147 - $176	125%
Medica Comm - All Other Plans	$184 - $220	157%

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 $162.
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 Chippewa County 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.