CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Conway Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $104
  • Cash Discount Price: $427
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Conway Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $427. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.88x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.
Cash / Self-Pay
$427

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $427 (363%)
Insurance Median: $104 (88%)
Cash: $427 (363% of Medicare)
Ins. Median: $104 (88% 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
Aetna $71 - $325 60%
Absolute Total Care $76 - $104 65%
Blue Cross Blue Shield $76 - $410 65%
Clover Health $76 - $104 65%
Devoted $76 - $104 65%
Emblem $76 - $104 65%
Healthteam $76 - $104 65%
Humana $76 - $104 65%
Molina $76 - $104 65%
Nhc $76 - $104 65%
Pruitt $76 - $104 65%
Select Health $76 - $104 65%
UnitedHealthcare $76 - $294 65%
Velocity $76 - $104 65%
Wellcare $76 - $104 65%
Medcost $222 - $244 189%
Cigna $275 - $302 234%
Blue Choice $316 269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Singleton Ridge Road, Conway, SC 29526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals