CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Wood County Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $196
Cash Discount Price: $223
vs. Medicare Baseline: 1.67x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Wood County Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.67x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.

Cash / Self-Pay

$223

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $223 (190%)

Insurance Median: $196 (167%)

Cash: $223 (190% of Medicare)

Ins. Median: $196 (167% 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
Blue Cross Blue Shield	$73 - $203	62%
Aetna	$78 - $210	66%
Buckeye	$78 - $133	66%
Caresource	$78 - $94	66%
Humana	$78 - $236	66%
Medicare (plans)	$78	66%
Mmo	$78 - $228	66%
Paramount	$78 - $205	66%
Perennial	$78	66%
Summacare	$78	66%
United_Healthcare	$78 - $228	66%
Medigold	$80	68%
Valor	$82	70%
Frontpath	$133 - $205	113%
Advanced_Medical_Pricing	$136 - $210	116%
Cigna	$136 - $210	116%
Medben	$136 - $210	116%
Occunet	$136 - $210	116%
Ohio_Health_Choice	$141 - $233	120%
Claimdoc	$144 - $223	122%
First_Health	$149 - $231	127%
Health_Ohio_Network	$149 - $231	127%
Healthscope_Benefits	$154 - $239	131%
Primary_Health_Services_Dca	$154 - $239	131%
Multiplan	$156 - $241	133%
Private_Healthcare_Systems	$156 - $241	133%
Three_Rivers_Provider_Network	$156 - $241	133%
Unicare	$156 - $241	133%
Beech_Street	$158 - $244	134%
Flora	$158 - $244	134%
Npn_Medical_Resources	$158 - $244	134%
Ohio_Preferred_Provider_Network	$158 - $244	134%
Ohio_Health_Group	$161 - $249	137%

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 $223.
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 Wood 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.