CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Alliancehealth Durant

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $3,999
Cash Discount Price: $662
vs. Medicare Baseline: 34.01x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Alliancehealth Durant is $3,999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $662. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 34.01x the Medicare baseline. Located in 1800 University Boulevard, Durant, OK.

Cash / Self-Pay

$662

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,999

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: $662 (563%)

Insurance Median: $3,999 (3401%)

Cash: $662 (563% of Medicare)

Ins. Median: $3,999 (3401% 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 3401% of the Medicare baseline (a markup of 3301%). 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
Veterans Eval Services	$102	87%
Node Us Dept Of Labor	$112	95%
Healthchoice	$171	145%
Self Pay	$772	657%
Blue Cross Blue Shield	$811	690%
Cigna	$1,484	1262%
UnitedHealthcare	$1,605	1365%
Healthcare Highways	$1,837	1562%
Customer Linx	$3,309	2814%
Phcs Savility	$3,861	3284%
Aetna	$4,137	3519%
First Health	$4,137	3519%
Healthsmart	$4,192	3566%
Multiplan Complementary	$4,412	3753%
Multiplan Primary	$4,412	3753%
Prime Health Services	$4,412	3753%
One Health Plan	$4,688	3987%
Preferred Community Choice Ppo	$4,688	3987%
Comprehensive Medical Care	$4,964	4222%

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 $662.
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 Alliancehealth Durant 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.