CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Okeene Municipal Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $72
Cash Discount Price: $123
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Okeene Municipal Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.61x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $123 (105%)

Insurance Median: $72 (61%)

Cash: $123 (105% of Medicare)

Ins. Median: $72 (61% 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
Pref Community Choice Ppo-All Plans	$26	22%
Ihs-All Plans	$62 - $113	53%
Aetna	$71 - $174	60%
Humana	$71 - $174	60%
Ok Complete Health Mcaid	$71 - $174	60%
Healthcare Highways-All Plans	$72 - $130	61%
Blue Cross Blue Shield	$81 - $110	69%
Ok Complete Health Comm-All Other Plans	$90 - $121	77%
Medica Commercial-All Other Plans	$93 - $134	79%
Coventry Mcr Adv	$99	84%
Global Health Mcr Adv	$99	84%
Medicare (plans)	$99	84%
UnitedHealthcare	$99	84%
Cigna	$106	90%
Healthchoice Ip Only-All Plans	$122	104%
Global Health-All Other Plans	$129	110%
Phcs Savility/Multiplan - All Plans	$130	111%
Community Care Hmo-All Plans	$157	134%

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 $123.
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 Okeene Municipal 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.