CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Harrison County Community Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $102
Cash Discount Price: $94
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Harrison County Community Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.87x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $94 (80%)

Insurance Median: $102 (87%)

Cash: $94 (80% of Medicare)

Ins. Median: $102 (87% 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
Aetna	$72 - $128	61%
Allwell	$74 - $87	63%
Ambetter / Centene	$74 - $87	63%
Blue Advantage Plus	$74 - $87	63%
Care Improvement Plus	$74 - $84	63%
Humana	$74 - $130	63%
Multiplan	$74 - $116	63%
UnitedHealthcare	$74 - $162	63%
Cigna	$76 - $116	65%
Provider Partners Health Plans	$76 - $91	65%
Blue Cross Blue Shield	$78 - $128	66%
6 Degrees Health	$102 - $116	87%
Wellmark	$102 - $152	87%

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 $94.
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 Harrison County Community 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.