CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercy Hospital Logan County

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$115

about 1.0× the $118 Medicare rate · typically $68–$143

modeled estimate · not a bill or quote

What this hospital charges insurers

$68

Below the fair price — a good deal

about $47 under the fair price · 0.6× Medicare

Medicare pays $118 Fair price $115 This hospital $68 Cash price $193 Hospital's list price $297

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 4 of 8 other OK hospitals charge more for the same procedure.

Cheapest $56 Priciest $74

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

A fair price for a New patient office visit (30-44 min) is about $115 (about 1.0× the $118 Medicare rate). Mercy Hospital Logan County charges insurers about $68, or about $193 in cash — below the fair price — a good deal. Located in Guthrie, OK.

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	$73 - $214	62%
Blue Cross Blue Shieldmajor	$68 - $162	58%
Aetnamajor	$68 - $180	58%
Cignamajor	$70 - $260	60%
Humanamajor	$68 - $98	58%
Ambetter (Centene)	$86 - $92	73%
Healthcare Highways	$216 - $230	184%
HealthLink	$173 - $260	147%
Independent Health	$68 - $78	58%
Medica	$144 - $153	122%
+ 35 smaller / regional plans	$68 - $275

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 193), 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 Mercy Hospital Logan County 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 Mercy Hospital Logan County

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

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