CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Novant Health Brunswick Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $253
Cash Discount Price: $203
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Novant Health Brunswick Medical Center is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 2.15x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$203

Average discount available for prompt cash payment at this facility.

Insurance Median

$253

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: $203 (173%)

Insurance Median: $253 (215%)

Cash: $203 (173% of Medicare)

Ins. Median: $253 (215% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 215% of the Medicare baseline (a markup of 115%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Carolina Complete	$57	48%
Nc Department Of Public Safety	$57	48%
Amerihealth	$58	49%
Blue Cross Blue Shield	$58 - $292	49%
UnitedHealthcare	$58 - $249	49%
Wellcare	$58	49%
Ambetter / Centene	$122	104%
Cigna	$159 - $225	135%
Caresource North Carolina	$162	138%
Aetna	$203 - $345	173%
Atlantic Corporation Dba Atlantic Packaging	$219	186%
Amps	$223	190%
Plotkin Health	$244	208%
Medcost	$306 - $341	260%
Transformhealth	$325	276%
Humana	$349	297%
Multiplan	$365	310%
Phcs	$365	310%
Employers Choice Network	$394	335%
Three Rivers Provider Network	$394	335%

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 $203.
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 Novant Health Brunswick 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.