CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Bates County Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$107

about 0.9× the $118 Medicare rate · typically $67–$151

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

About the fair price

about $5 under the fair price · 0.9× Medicare

Medicare pays $118 Fair price $107 This hospital $102 Cash price $143 Hospital's list price $204

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $56 Priciest $102

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

A fair price for a New patient office visit (30-44 min) is about $107 (about 0.9× the $118 Medicare rate). Bates County Memorial Hospital charges insurers about $102, or about $143 in cash — about the fair price. Located in Butler, MO.

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	$70 - $173	60%
Blue Cross Blue Shieldmajor	$70 - $173	60%
Aetnamajor	$70 - $173	60%
Cignamajor	$70 - $173	60%
Humanamajor	$70 - $109	60%
Ambetter (Centene)	$70 - $109	60%
+ 2 smaller / regional plans	$93 - $102

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 143), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99203.

Insurance Before you use insurance

Call your insurance company to confirm Bates County Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99203.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Bates County Memorial Hospital

Compare: New patient office visit (30-44 min) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.