CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Temple University Hospital

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 99203
Insurance Median: $66
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Temple University Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.56x the Medicare baseline. Located in 3401 North Broad Street, Philadelphia, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$66

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%)

Insurance Median: $66 (56%)

Ins. Median: $66 (56% 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
Aetna	$13 - $118	11%
Blue Cross Blue Shield	$21 - $149	18%
Cigna	$24 - $60	20%
Oscar Health	$37 - $75	31%
Health Partners Plans	$52	44%
Innovage	$54 - $110	46%
Geisinger	$60 - $120	51%
Amerihealth Caritas	$65	55%
Prime Health Services	$65 - $132	55%
Magellan Health	$71	60%
UnitedHealthcare	$74 - $150	63%
Occunet	$76 - $154	65%
Gateway Health Plan	$92	78%
Upmc Health Plan	$120	102%
Pennsylvania Health And Wellness	$121	103%
Keystone First	$133	113%

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 $X.
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 Temple University 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.