CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Hospital of the Fox Chase Cancer Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $93
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Hospital of the Fox Chase Cancer Center is $93. 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 0.79x the Medicare baseline. Located in 333 Cottman Avenue, Philadelphia, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $93 (79%)
Ins. Median: $93 (79% 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.

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
Health Partners Plans $52 44%
Blue Cross Blue Shield $56 - $113 48%
UnitedHealthcare $70 60%
Oscar Health $75 64%
Aetna $91 - $93 77%
Keystone First $114 97%
Upmc Health Plan $120 102%
Pennsylvania Health And Wellness $121 103%
Prime Health Services $132 112%
Qualcare $273 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Cottman Avenue, Philadelphia, PA 19111
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL